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Home Health & Hospice Week

Medical Review:

Don't Let These Therapy Denial Reasons Torpedo Your Claims

Published on Fri May 26, 2017

Missing goals, measurements a common claim-killer. Palmetto GBA and the other HHH MACs have a whole arsenal of reasons to deny or downcode your claims based on therapy. Here are the ones commonly cited in Palmetto’s recent probe edits covering nearly 7,000 claims: 5F080/5T080: Absence of Short and/or Long Term Goals within the Initial (PT/OT/ST as appropriate) Therapy Evaluation Documentation. [...]
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