Home Health & Hospice Week

Appeals:

Court Grants Potential Overpay Breathing Room

A 43-claim audit led to $7.9 million overpayment demand. A federal court decision issued last month may give home care providers a fighting chance when it comes to opposing extrapolated recoupment amounts based on claims denials. The history: The Zone Program Integrity Contractor audited 43 claims from Texas home health agency Family Rehab Inc. in October 2016, according to a [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Home Health & Hospice Week

View All