Advanced Search

Home Health & Hospice Week

Industry Notes:

MAC Continues String Of F2F Denials

Published on Fri Apr 25, 2014

Palmetto GBA prepares to expand its review of high-therapy claims. In its latest medical review results for high-therapy claims, Palmetto GBA makes a big chunk of denials for face-to-face reasons — but it’s not quite as big a chunk as in some previous reviews.   Stats: For HIPPS codes 5BHK* and 5CHK*, which include the highest therapy and functional scores, [...]
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