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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 [...]
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