Industry Notes:
MAC Continues String Of F2F Denials
Published on Fri Apr 25, 2014
Palmetto GBA prepares to expand its review of high-therapy claims. In its latest medical review results for high-therapy claims, Palmetto GBA makes a big chunk of denials for face-to-face reasons — but it’s not quite as big a chunk as in some previous reviews. Stats: For HIPPS codes 5BHK* and 5CHK*, which include the highest therapy and functional scores, [...]