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Home Health & Hospice Week

Industry Notes:

Claims System Fix For LUPA Glitch Leads To Errors

Published on Fri Jul 17, 2015

A new claims system edit may be kicking out claims in error. On the other hand, it may be kicking out claims because you’re billing unallowable occupational therapy visits. “The July 2015 system release included the addition of reason code (RC) 37249 to ensure appropriate payment is made on low utilization payment adjustment (LUPA) claims,” HHH Medicare Administrative Contractor CGS [...]
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