Industry Note:
Medicare HH Contractor Keeps The Heat On Hypertension Claims
Published on Fri Dec 06, 2013
Make sure your claims with hypertension codes can withstand medical review, or you’ll pay the price. In the latest quarter, HHH Medicare Admin-istrative Contractor CGS racked up an 85 percent denial rate under an edit that selects claims for pre-pay review based on "hypertension diagnoses and length of stay greater than two episodes of care," the MAC reveals in its [...]