The Centers for Medicare & Medicaid Services (CMS) issued Change Request (CR) 12657, removing the requirement to submit a Notice of Admission (NOA) before billing for home health denials. CMS will process home health claims without an election period on file if the following are present:

  • Type of bill 0320
  • Condition code 21
  • From date on or after January 1, 2022

CMS revised edit criteria to make sure Medicare systems calculate 60-day gaps in service consistently.

Source: U.S. Centers for Medicare & Medicaid Services (CMS)

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