Advanced Search

Home Health & Hospice Week

Industry Notes:

F2F, POC Problems Plague High-Therapy Claims

Published on Fri Jan 09, 2015

Face-to-face, plan of care and OASIS requirements continue to torpedo high-therapy claims in one Palmetto GBA edit. Palmetto reviewed 10 claims with HIPPS code 5BHK* in Illinois, Louisiana and Mississippi in its latest edit targeting the HIPPS code that represents 20-plus therapy visits, a mid-clinical score (2) and the highest functional score (3). The Medicare Administrative Contractor either fully or [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Home Health & Hospice Week

View All