Home Health & Hospice Week

Industry Notes:

Payment System Glitch Shortchanges PDGM Claims Spanning Jan. 1

Stay tuned for how to fix a new Medicare claims system glitch affecting home health episodes spanning Jan. 1.

“The system is incorrectly applying CY 2020 HH PPS payment rates for claims spanning 2020-2021,” HHH Medicare Administrative Contractor Palmetto GBA reports on its website. “The CY 2021 HH PPS payment rates should apply for periods with claim statement ‘Through’ dates on or after January 1, 2021.”

There is no current fix and Palmetto says it will post updates “when applicable.”

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