Industry Notes:
MAC Shoots Down 70% Of High-Therapy Claims
Published on Thu Jan 29, 2015
Be sure your records for high-therapy claims are up to snuff, because they are under the microscope. HHH Medicare Administrative Contractor Palmetto GBA reviewed 38 claims with the HIPPS code 5AHK* in the latest quarter, the MAC says on its website. Palmetto partially or fully denied 26 of the reviewed claims — nearly 70 percent. In some regions, the MAC [...]