Industry Note:
Get Ready For Serious Scrutiny Of Your HIPPS Claims
Published on Fri Feb 01, 2013
Palmetto set to launch medical review edits for high-denial rate codes. Your claims for certain Home Health Insurance Prospective Payment System codes are under review, according to a recent Palmetto GBA announcement. The Jurisdiction 11 A/B Medicare Administrative Contractor’s medical review department will conduct a service-specific prepay complex review on claims billed for the top 20 Home Health HIPPS codes. [...]