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Home Health & Hospice Week

Industry Note:

MAC To Reverse ZPIC Denials Made In Error

Published on Fri Jan 08, 2016

A ZPIC edit has led to erroneous denials, but HHH MAC Palmetto GBA will fix them with mass adjustments, the contractor says. “Providers have had denials for full claims with Reason Code 5Z7D1 or line denials with Reason Code 5Z7D2, narrative ‘Home Health Skilled Nurse Not Reasonable and Necessary,’” Palmetto explains. “The ‘Z7’ of the Reason Code refers to ZPIC [...]
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