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Healthcare at Home: The Rowan Report

Open Forum Where Home Care Meets to Discuss Current Events
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16
Dec
CMS Language Most Often Used to Deny Claims
stored in: Tim Rowan's Home Care Technology Report and tagged: criteria of healthcare at home patients--Medicare's explicit requirements that must be met, Department of Health and Human Services Fiscal Year 2015 Financial Report--and Medicare's fee-for-service (FFS) improper payments to healthcare at home agencies, documentation and medical necessity--two key factors accounting for improper payments by Medicare to healthcare at home agencies, healthcare at home agencies' clinicians notes and what is considered "appropriate" to claim by Medicare administrators, healthcare at home visits--factors accounting for"reasonable" services paid for by Medicare

  By Tim Rowan According to the Department of Health and Human Services Fiscal Year 2015 Financial Report, “Advancing the health, safety, and well-being of the nation,” the Medicare FFS gross improper payment estimate for FY 2015 is 12.09 percent or $43.3 billion. The FY 2015 net improper payment estimate is 11.39 percent or $40.8 […]

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