HOSPICE PROVIDERS: Submit HIS Files like a Pro

The requirement to submit a Hospice Item Set (HIS) Admission record and a Hospice Item Set (HIS) Discharge for every patient can be inconvenient. Okay, that’s an understatement. HIS compliance requirements are an administrative headache, but they don’t have to be.

When you sign up for our File Transfer Service, you get a complete snapshot of the activity on your 835/837 file transmissions. You can quickly see the number of files that have been accepted, rejected, and processed. At a glance, you can prioritize and troubleshoot your workload. What makes this tool especially valuable to you, however, is the option to add HIS submission functionality.

eSolutions Newsletter | November 2014

RAC Audits are Back!

After an extended break, it appears the Recovery Audit Contractor (RAC) audits will soon start to pick up steam. At this time, CMS is initiating contract modifications to the current recovery auditor contracts to allow the recovery auditors to restart some reviews. Most reviews will be done on an automated basis, but a limited number will be complex reviews of topics selected by CMS.  Complex reviews may include DRG validations (coding reviews), surgery, and therapy.