03
Apr
stored in: Tim Rowan's Home Care Technology Report and tagged: auditors, audits, claim denials, CMS, compliance, documentation, federal legislation and audits, fraud and abuse, home healthcare, home healthcare claims, hospital claims, Medicare Audit Improvement Act, Medicare billing, quotas, rural healthcare
What does it mean when more than three-quarters of payment denials handed down by Medicare contractors are voided by Administrative Law Judges when appealed? Our conclusion, based on interviews over the years with home health care consultants who specialize in walking agencies through the appeal process, is that auditors at the RHHI, MAC, ZPIC […]
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27
Mar
NHIC, Corp., a Medicare Administrative Contractor, reviewed home health claims between July 1 and December 31, 2012 and found alarmingly high error rates. The contractor published a document describing exactly which errors cause the most denials.
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