Home Health & Hospice Week

Industry Notes:

Use This Helping Hand With Top Denials

Get a grip on your top denials with new fact sheets from one HHH Medicare Administrative Contractor. “CGS has developed home health denial fact sheets for five specific denial reason codes to assist home health clinical staff in avoiding medical review denials,” the MAC says.

The codes covered include 5FFTF (Miss-ing/Incomplete/Untimely Face-to-Face Encounter); 5HHBD (Homebound Status Is Not Supported in the Record); 5HMED (Medical Necessity Is Not Sup-ported in the Record); 5HNOA (No OASIS Assess-ment in the Medical Record); 5HPLN (Missing Incomplete/Untimely Plan of Care); and 5HORD (Missing/Incomplete/Untimely Orders).

Links to the fact sheets are online at www.cgsmedicare.com/hhh/pubs/news/2014/0314/cope25027.html.

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