Home Health & Hospice Week

Industry Note:

Beware Recoding Glitch Under PDGM

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 [...]
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