tci Medicare Compliance & Reimbursement - 2017 Issue 5

Home Health: First-Rate Documentation Helps in the Defense of Observation & Assessment Visits

Look to your MAC for guidance on medical necessity. Don’t let slipshod observation and assessment documentation impede your bottom line. Detailed notes can help you garner the reimbursement you deserve. Careless charting may be the culprit of a recent rash of O&A-related denials for many home health agencies that underwent a recent, medical review probe. HHH Medicare Administrative Contractor (MAC) Palmetto GBA announced a service-specific probe for claims with the CH** HIPPS code back in November. The probe reviewed claims for early or late episodes, with a Clinical Severity Level of 3 and Functional Severity Level of...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.