What Providers say about us

"People who work for Hospice are are very well trained and caring."

"Outstanding patient centered care. Great support and education for families." see more

Referring to Hospice of Spokane

Primary & Illness Specific indicators to help know when it could be time to refer a patient to hospice care. see indicators

Grief Support Services
Providing support for people dealing with grief and loss is part of Hospice of Spokane's mission. Click here to find out more about grief support services

 

Billing

Tips for faster turnaround times for provider bills.

Timely Filing Requirements for Medicare Fee-For-Service Claims

On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (PPACA), which amended the time period for filing Medicare fee-for-service (FFS) claims as one of many provisions aimed at curbing fraud, waste, and abuse in the Medicare program.

The time period for filing Medicare FFS claims is specified in Sections 1814(a), 1835(a)(1), and 1842(b)(3) of the Social Security Act and in the Code of Federal Regulations (CFR), 42 CFR Section 424.44.  Section 6404 of the PPACA amended the timely filing requirements to reduce the maximum time period for submission of all Medicare FFS claims to one calendar year after the date of service.

Under the new law, claims for services furnished on or after January 1, 2010, must be filed within one calendar year after the date of service.  In addition, Section 6404 mandates that claims for services furnished before January 1, 2010, must be filed no later than December 31, 2010.  The following rules apply to claims with dates of service prior to January 1, 2010.  Claims with dates of service before October 1, 2009, must follow the pre-PPACA timely filing rules.  Claims with dates of service October 1, 2009, through December 31, 2009, must be submitted by December 31, 2010. 

Section 6404 of the PPACA also permits the Secretary to make certain exceptions to the one-year filing deadline.  At this time, no exceptions have been established.  However, proposals for exceptions will be specified in future proposed rulemaking.

Please be on the alert for more information pertaining to the Patient Protection and Affordable Care Act.

 

Did you receive a denial letter from us?

Here are some of our favorite links that may be of use to you.

http://www.cms.hhs.gov/ This is the Center for Medicaid and Medicare Services and has lots of useful information.

http://www.cms.hhs.gov/Manuals/IOM/list.asp The Medicare Claims Processing Manual, CMS Pub 100-4, Ch. 11, sections 40.1.3 and 40.2.

https://wamedweb.acs-inc.com/wa/general/home.do This is the home page of Washington State Medicaid online. WAMedWeb provides the tools and resources to help healthcare providers conduct business electronically with Washington State Medicaid.

This portion of the website is new and we welcome any feedback you have about improvements or additions! Email us at info@hospiceofspokane.org or call 509.456.0438.