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Home Health & Hospice Week

Industry Notes:

Face-To-Face Problems Lead To Denial Rate Of 55% In Recent Review

Published on Fri Mar 13, 2015

Palmetto GBA continues to shoot down claims billing for 20 or more therapy visits. The MAC revealed the results of two recent reviews of HIPPS codes indicating the highest therapy level — 5BHK* and 5CHK*. Palmetto reviewers denied, either partially or in full, 26 of the 47 5CHK* claims reviewed in the third quarter, a denial rate of 55 percent. [...]
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