Industry Note:
Beware Recoding Glitch Under PDGM
Published on Fri May 01, 2020
One more set of mysterious claims adjustments under PDGM is now explained. Problem: “Medicare home health claims are being paid based on incorrect HIPPS codes when: Dates spanning January 1, 2020, are recoded by Medicare systems [and] From dates after January 1, 2020, are submitted with institutional occurrence codes and are recoded due to period timing,” HHH Medicare Administrative Contractor [...]