Industry Notes:
F2F, POC Problems Plague High-Therapy Claims
Published on Fri Jan 09, 2015
Face-to-face, plan of care and OASIS requirements continue to torpedo high-therapy claims in one Palmetto GBA edit. Palmetto reviewed 10 claims with HIPPS code 5BHK* in Illinois, Louisiana and Mississippi in its latest edit targeting the HIPPS code that represents 20-plus therapy visits, a mid-clinical score (2) and the highest functional score (3). The Medicare Administrative Contractor either fully or [...]