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Home Health & Hospice Week

Industry Notes:

System Incorrectly Denies Claims For Nonexistent Physician PECOS Problems

Published on Fri Mar 27, 2015

Pay attention: Some PECOS edit de-nials may not be valid. “Some home health claims and adjustments may have been denied inappropriately with reason code 37236 or 37237,” HHH Medicare Administra-tive Contractor CGS says on its website. “Some home health claims and adjustments are being submitted with ordering/referring physician information that matches the Medicare Ordering and Re-ferring File on the Centers [...]
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