CHA News Article

Ordering and Referring Denial Edits Will Apply to Certifying HHA Physicians
Implementation to begin July 7

Beginning July 7, the Centers for Medicare & Medicaid Services will apply phase 2 ordering and referring denial edits to certifying physicians of Part A home health agencies (HHAs). Currently, the edits apply only to the attending physician of an HHA; however, the edits will ensure that in addition to the attending physician, the certifying physician has a valid individual National Provider Identifier, practices in a specialty type eligible to order and refer HHA items and services, and is enrolled in Medicare in an approved or opt-out status.