Centers for Medicare & Medicaid Services (CMS) released a Medicare Learning work change request fact sheet for home health claims edits effective January 1, 2024. Home health agencies should be sure that staff know:

• When your claim reports both condition code DR (disaster-related) and occurrence code 50, CMS requires a matching OASIS patient assessment.
• Your Medicare Administrative Contractor (MAC) will make sure medical review information isn’t removed from claims or adjustments when recoding the Health Insurance Prospective Payment System (HIPPS) code due to admission source edits.

Read the full CMS Manual change request here.