Nursing Home Rate Reprocessing

NCTracks processed claims adjustments in the September 23, 2014, checkwrite as retroactive nursing home rate adjustments for dates of service from April 1, 2014, to June 30, 2014. When the claims were reprocessed for payment at the new rate, the Patient Monthly Liability (PML) was withheld on each claim during the month. Thus, if a provider submitted claims each week during April, the PML was withheld four times.

The claims that had the rate change were voided this past weekend, and will be reprocessed this week as original claims in the October 15 checkwrite to correct the issue with PML. No action is required on the part of nursing home providers.