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Wiki hospital at home/transitional care HELP!!

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sgrubbs18

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Denton, TX
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Hello all!

I'll keep this as brief but detailed as possible :)

I'm working for a NPHO who employs doctors that are treating patients under transitional care for a limited amount of time, usually 30ish days.

They have staffing agencies that they contract to do skilled nursing at their patient's homes. As well as PT/OT/ST.

We are having denials roll in that are super vague and UHC doesn't want to pay for S9123/S9124 since they aren't a "home health agency".

Any ideas????
 
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