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Home Health & Hospice Week

Reimbursement:

Here's What Counts Toward The Institutional Pay Bump — And What Doesn't

Published on Fri Aug 23, 2019

Watch out for tricky swing bed patients. Designating a 30-day period as “institutional” under the Patient-Driven Groupings Model can bring a big payment increase. But claiming it by mistake could result in repercussions ranging from takebacks to fraud and abuse charges. Take a look at the rules for designating a claim as institutional: This counts: For early (first) episodes, stays [...]
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