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  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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  April 2013 Quarterly System Release – Claim Hold On April Fool’s Day, the first day federal payment cuts resulting from Congress’ failure to reach a budget compromise went into effect, CMS announced that the changes it made to its claims paying system rendered that system unable to properly process home health claims. It will […]

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