Enhancements to Home Health Consolidated Billing Edits

Published 10/03/2024

The purpose of Change Request (CR) 13550 is to ensure Original Medicare systems edits enforcing home health consolidated billing are accurate and consistent with existing payment policies. This CR adds code F6 to the list of physician specialty codes that cause the Common Working File (CWF) to bypass this edit and informational unsolicited response (IUR). This CR also corrects the home health consolidated billing edit and IUR for supply services to be based on the last billable service date for the period.


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