Medical Review:
Not Enough Time To Go Back?
Published on Thu Apr 15, 2004
Try this quick solution for M0175. Home health agencies strapped for time, resources and/or the funds to hire outside consultants to conduct OASIS accuracy audits on past claims may want to use their current workload to estimate their M0175 takebacks.
Ongoing edits of the OASIS item on prior hospital stays began April 1. Providers should check these claims to make sure their intermediary correctly adjusted for a hospital stay, advises consultant Tom Boyd with Rohnert Park, CA-based Boyd & Nicholas.
Agencies also should review their procedures to determine what changes need to take place to increase M0175 accuracy, Boyd adds.
After confirming the findings, HHAs can use the percentage of downcoded M0175 claims to estimate what their previous years' downcodes will be as well, Boyd suggests.
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