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Home Health & Hospice Week

Industry Notes:

Lack Of OASIS Support #1 Denial Reason

Published on Fri May 02, 2014

Lack of documentation for OASIS M0 items edged out face-to-face as the chief reason for denials in Palmetto GBA’s latest medical review of high-therapy claims. Palmetto reviewed claims with a HIPPS code of 5BHK*, processed Feb. 1 to April 15. 5BHK* are claims with the highest (20-plus visits) therapy category, mid-clinical score (2) and highest functional score (3). It has [...]
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