Industry Note:
Watch For Therapy-Related Recoupments In Coming Weeks
Published on Fri Jan 08, 2016
Watch for potential recoupments related to a therapy downcoding problem coming soon. Problem: “Claims reporting Health Insurance Prospective Payment System (HIPPS) codes beginning with 5 are not being recoded correctly when fewer than 20 therapy services are provided. These errors affect only home health claims with receipt dates on or after October 1, 2015,” HHH MAC Palmetto GBA says on [...]