My home health claim overlaps an inpatient stay posted to the Common Working File (CWF). How can I resolve this?
HHAs should be aware that per the Medicare Claims Processing Manual (Pub. 100-4, Ch. 10, § 30.9), “Claims for institutional inpatient services, that is inpatient hospital and skilled nursing facility services, will continue to have priority over claims for home health services under HH PPS.” To resolve this billing error, please access the Web page, Top Claim Submission Errors for Home Health Providers: Error C7080. Cahaba encourages you to use the first Medicare billable visit in the episode as the date of service submitted when billing non-routine supplies or surgical dressing/wound care supplies to avoid errors for overlapping inpatient stays as this is a common reason why this billing error occurs. (April – June 2008 FAQ – Reviewed Sept.
