How Do I Include the KX Modifier on the EOE Claim?
Filing a late Notice of Admission (NOA)
If a home health agency (HHA) fails to submit a timely-filed NOA (within 5 days of admission), it may request an exception, which, if approved, waives the consequences of late filing. The HHA should not file an appeal, as the exception process is a required action. To achieve this, the provider will need to include the KX modifier, along with the reason the NOA (Notice of Admission) was late on the final claim (EOE). The KX modifier should not be submitted on the NOA. Please view the full PalmettoGBA article on "Late Notice of Admission: The Exception Process."
Steps to Add KX Modifier to the End of Episode (EOE) Claim
- Bill and submit the NOA as usual.
- After the NOA has been created, go to Billing > PPS Billing > Edit PPS Episodes.
- Select the checkbox 2021 Late RAP Info (KX). A field will appear at the bottom to type in your Remarks (reason for filing the NOA late).
- Type in the reason the NOA was late, then click Save Late RAP Reason.
- You will receive a popup "Late RAP Info Saved." Click OK.
** When the EOE is created, it will show the KX modifier and the reason the NOA was filed late.
If you put in remarks in error, or need to delete the KX/comments
- Highlight the text/comments, then press Delete.
- Click Save Late RAP Reason.
- You will get a popup "Do you want to remove the KX reason and the comments?. Click Yes if appropriate.
How Do I Get a Listing of all NOAs Submitted Late?
- Go to Billing > PPS Billing > Reports > 14.03 PPS Tracking Report.
- Select Epidodes with KX - Late Reason.
- Put in the applicable From and Through Dates for your search.
- Put in your specific Program/Payer/Team Code(s), or leave blank to search all.
- Click Print.