Pre-Claim Review:
Will Home Health Probe & Educate Denial Rates Change?
Published on Fri Apr 28, 2017
HHAs have a chance to show their face-to-face documentation has improved. A Palmetto GBA representative says the MAC “has completed reviews on approximately 75 percent of the home health claims sample” for Probe & Educate Round 2. “The remaining approximate 25 percent is comprised of ADR requests pending response by the provider, ADR responses pending review by Palmetto GBA, as [...]