Advanced Search

Home Health & Hospice Week

Medical Review:

Skilled Nursing Medical Necessity Denials Hit HHAs Where It Hurts

Published on Thu Aug 18, 2022

Warning: EMR templates may be your medical review downfall. If you think your agency’s claims will pass medical review with flying colors because you’ve nailed face-to-face encounter requirements, you may need to think again. Why? Another denial reason is giving FTF a run for its money. “Skilled nursing services were not medically necessary” (denial code 5HN18) ranked as the number-one [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Home Health & Hospice Week

View All