tci Medicare Compliance & Reimbursement - 2006 Issue 12

Billing: 3 Keys To Securing Rightful Home Health Payments

Changing codes could cause reimbursement snags.Many home health care providers are confused about whether they received correct payments because they don't have updated wage index information, says billing consultant Rose Kimball with Med-Care Administrative Services in Dallas. The Centers for Medicare & Medicaid Services doesn't notify providers when their county changes from rural to urban status or vice versa. "They have to find out on their own," she points out.And providers are already perplexed by all the Deficit Reduction Act-mandated changes that have resulted in held claims, overpayments and underpayments. "Many providers are so confused about...

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