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CMS Eligibility Response Updates 6/13/2020

hets 271 changes 06132020

On June 13th, CMS released the following changes to their HETS eligibility response. Change #2 is a big one for hospitals and long overdue.On June 13th, CMS released the following changes to their HETS eligibility response. Change #2 is a big one for hospitals and long overdue.

  1. The Home Health patient status codes has been added to the response with it’s text description. The home health service type must be requested to get this information.CMS Home Health Status Codes

2. Hospital and SNF stays will be displayed separately and divided into each individual stay. Also the billing NPI associated with each hospital or skilled nursing facility will be di splayed with each stay.

3. Preventive data for the Human Papillomavirus screening will be now be supported. HCPCS code G0476 must be requested to get this data.  

Jun 16, 2020Payer Goddess
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