Medicare Compliance & Reimbursement

Industry Note:

MAC Cautions Physicians About Medical Necessity for Home Health

When referring Medicare beneficiaries for home health care, it’s all in the details. In a recent release, one Medicare Administrative Contractor (MAC) reminds physicians of their substantial referral responsibilities, but also may be scaring them out of making referrals at all. HHH MAC Palmetto GBA walks physicians and referring medical facilities through the documentation requirements for patients referred to home health [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.