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Home Health & Hospice Week

Industry Notes:

High-Therapy Claims Rack Up More Denials

Published on Thu Oct 09, 2014

Twenty-plus therapy visits are a red flag. Face-to-face and OASIS problems continue to dog high-therapy claims, according to new medical review results released by one HHH Medicare Administrative Contractor. Palmetto GBA reviewed 81 claims from June through August that included six HIPPS codes indicating 20-plus therapy visits — 5AGK*, 5CGK*, 5CHK*, 5BFK*, 5AFK*, and 5AHK*. Palmetto either partially or fully [...]
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