tci Medicare Compliance & Reimbursement - 2012 Issue 7

Home Health Reimbursement: Use This ADR Tool To Hang Onto Reimbursement That's Yours

Providers pass on OIG's second chance to submit medical records. You have most likely heard the phrase "if it wasn't documented, it wasn't done" so many times that it's old hat. And yet, insufficient and missing documentation remains one of the biggest denial reasons among Medicare contractors. The HHS Office of Inspector General tried to improve upon that denial rate by offering providers a second chance to turn in required documentation, a new OIG report says. But the majority passed on the offer, leaving contractors no choice but to request a refund of the money that providers had received...

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