tci Medicare Compliance & Reimbursement - 2004 Issue 26

HOME CARE: Confirm M0175 Takebacks With New CWF Option

HHAs should get to know 'APPDATE' field to ensure proper recoupments. How will home health agencies know if the M0175 payments Medicare is taking back are fair and square? Avaluable new tool could make HHAs' research on patients'prior hospital and skilled nursing facility stays easier. Most HHAs are already seeing requests for anticipated payment returned for hospital stay correction or are having final claims downcoded, thanks to the ongoing M0175 audits that took effect April 1. And this summer, the Centers for Medicare & Medicaid Services will recoup $23 million from HHAs for missed hospital stays in the first...

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