The Health and Human Services Commission (HHSC) has issued Information Letter No. 2021-27, urging healthcare providers, including nursing homes, to promptly submit claims for any unbilled services in preparation for the August 31, 2021 end of fiscal year closeout. Providers should ensure billing is current and resolve any issues within the 12-month filing limitation. They should also diligently review their Remittance & Status reports to verify recoupments on claims paid by HHSC. Invalid recoupments for fiscal year 2019 services should be reported to state office staff and rebilled before the August cutoff date. Miscellaneous claims under $50,000 and less than eight years old will be paid on a first-come, first-served basis. Providers should contact the Texas Medicaid & Healthcare Partnership for questions about the R&S report, and report invalid or inappropriate recoupments to HHSC Provider Recoupments & Holds.
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