tci Medicare Compliance & Reimbursement - 2004 Issue 27

HOME CARE: Lack Of Documentation Can Cost HHAs Thousands

One agency lost $37,000 thanks to spotty record-keeping. How much is enough? That's the perpetual question when it comes to documentation, and a recent Provider Reimbursement Review Board decision shows how important the answer can be. Elwood, IN-based Visiting Nurse Association of North Central Indiana Inc. applied for an exception to therapy salary guidelines for its 1995 cost reporting year, according to a June 7 decision in VNA of North Central Indiana v. Blue Cross Blue Shield Association Palmetto GBA (No. 2004-D24). The VNA needed the exception because it couldn't hire contracted therapists in its rural area at...

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