Medicare Forms


Calendar Year 2012 and After Payments to Home Health Agencies That Do Not Submit Required Quality Data(pdf - 100Kb)
Release Date: July 1, 2011 Effective Date: October 3, 2011
Home Health Agencies (HHAs) submitting claims to Medicare contractors, (Fiscal Intermediaries (FIs), A/B Medicare Administrative Contractors (A/B MACs), and/or Regional Home Health Intermediaries (RHHIs)) for home health services provided to Medicare beneficiaries are affected.
Recently Enrolled Home Health Agencies (HHAs): Submit OASIS and HHCAHPS Data Promptly to Ensure Full Medicare Payment(pdf - 85Kb)
Release Date: May 12, 2011 Effective April 1, 2011
The Centers for Medicare & Medicaid Services (CMS) expects home health agencies and hospices have fully established internal processes to comply with the face-to-face encounter requirements mandated by the Affordable Care Act for purposes of certification of a patient’s eligibility for Medicare home health services and of recertification for Medicare hospice services.

Fiscal Intermediaries

NGS (National Government Services)

NGS HHA Filing Requirments
These items are required to meet CMS Acceptance standards relating to the filing of a Home Health Agency Medicare Cost Report . If any of these items are not included, the cost report will be rejected.

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Cost Reporting Preparation - Greg Ryan
P.O. Box 5003
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Phone: (818) 917-9862
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