Federal (United States) · Agency guidance
Chapter 10
73 sections
73 sections
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10General Guidelines for Processing Home Health Agency (HHA)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1Home Health Prospective Payment System (HH PPS)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.1Creation of HH PPS and Subsequent Refinements
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.2Reserved
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.3Configuration of the HH PPS Environment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.4The HH PPS - Unit of Payment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.5Number, Duration, and Claims Submission of HH PPS Periods
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.5.1More Than One Agency Furnished Home Health Services
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.5.2Effect of Election of Medicare Advantage (MA) Organization
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.6RESERVED
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.7Basis of Medicare Prospective Payment Systems and Case-Mix
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.8Coding of HH PPS Case-Mix Groups on HH PPS Claims:
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.9Composition of HIPPS Codes for HH PPS
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.10Provider Billing Process Under HH PPS
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.10.1Grouper Links Assessment and Payment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.10.2Reserved
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.10.3Submission of the Notice of Admission (NOA)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.10.4Claim Submission and Processing
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.11Payment, Claim Adjustments and Cancellations
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.12RESERVED
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.13Transfer Situation - Payment Effects
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.14Discharge and Readmission Situation Under HH PPS -
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.15Payment Adjustments - Partial Period Payment Adjustment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.16Payment When Death Occurs During an HH PPS Episode/Period
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.17Payment Adjustments - Low Utilization Payment Adjustments
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.18RESERVEDReserved
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.19Payment Adjustments – Applying OASIS Assessment Items to
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.20RESERVED
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.21Payment Adjustments - Outlier Payments
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.22RESERVED
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.23Changes in a Beneficiary’s Payment Source
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.24Glossary and Acronym List
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 20Home Health Prospective Payment System (HH PPS) Consolidated
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 20.1Beneficiary Notification and Payment Liability Under Home
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 20.1.1Responsibilities of Home Health Agencies
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 20.1.2Responsibilities of Providers/Suppliers of Services Subject to
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 20.1.3Responsibilities of Hospitals Discharging Medicare Beneficiaries
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 20.2Home health Consolidated Billing Edits in Medicare Systems
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 20.2.1Nonroutine Supply Editing
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 20.2.2Therapy Editing
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 20.2.3Other Editing Related to Home Health Consolidated Billing
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 20.2.4Only Notice of Admission (NOA) Received and Services Fall
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 20.2.5No NOA Received and Therapy Services Rendered in the Home
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 30Common Working File (CWF) Requirements for the Home Health
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 30.1Eligibility Query to Determine Status
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 30.2CWF Response to Inquiry
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 30.3Timeliness and Limitations of CWF Responses
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 30.4Provider/Supplier Inquiries to MACs Based on Eligibility
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 30.5National Home Health Prospective Payment Episode History File
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 30.6Opening and Length of HH PPS Episodes/Periods of Care
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 30.7RESERVED
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 30.8RESERVED
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 30.9Coordination of HH PPS Claims Episodes With Inpatient Claim
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 30.10RESERVED
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 30.11Exhibit: Chart Summarizing the Effects of NOA/Claim Actions
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 40Completion of Form CMS-1450 for Home Health Agency Billing
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 40.1Notice of Admission (NOA)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 40.2HH PPS Claims
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 40.5RESERVED
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 50Beneficiary-Driven Demand Billing Under HH PPS
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 60No Payment Billing
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 70HH PPS Pricer Program
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 80HH Grouper Program
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 80.1HH Grouper Input/Output Record Layout
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 80.2HH Grouper Decision Logic and Updates
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 90Medical and Other Health Services Submitted Using Type of Bill
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 90.1Osteoporosis Injections as HHA Benefit
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 90.2Billing Instructions for Pneumococcal Pneumonia, Influenza
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 90.3Billing Instructions for Disposable Negative Pressure Wound
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 100Temporary Suspension of Home Health Services
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 110Billing and Payment Procedures Regarding Ownership and CMS
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 110.1RESERVED
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 110.2Payment Procedures for Terminated HHAs