Home Health & Hospice Week
Industry Note:
Tip: Don't Try To Adjust Redetermined Claims
Published on Fri Jun 14, 2013
Keep your claims processing timeline straight to stay away from prohibited actions.
So says HHH Medicare Administrative Contractor Palmetto GBA on its website. "We have seen an increase in the number of providers trying to make an adjustment to a claim after it has gone through the Redetermination process," Palmetto says. "Providers cannot adjust anything on a claim after it has had a line adjusted through the Redetermination process, regardless of whether they are attempting to adjust the previously medically denied line or another line on the claim."
Bottom line: "All needed adjustments to the claim must occur prior to the Redetermination process," Palmetto reminds providers.
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Home Health & Hospice Week
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