Reimbursement:
PPS ADJUSTMENTS HIT HANGUPS
Published on Tue Jan 13, 2009
Don't touch these suspended claims. Your wait for your corrected prospective payment system claims may be longer than you thought. All three regional home health intermediaries have initiated the claims adjustments for the errors the PPS claims system made starting in January 2008 (see Eli's HCW, Vol. XVIII, No. 5, p. 34). But two of the RHHIs aren't done with the adjustments yet. Intermediary Cahaba GBA has initiated adjustment of more than 72,000 HHA claims due to the adjustments, a Cahaba rep tells Eli. Most adjustments: The largest number of adjustments, which were still in process at press time,were for using the incorrect wage index on claims processed between Aug. 4 and Aug. 14, 2008, Cahaba says. More than 31,100 claims were corrected for that reason, which was listed as #9 in Oct. 31 CR 6250 (Transmittal No. 397) (see Eli's HCW, Vol. XVII, No. 40, p. 315). M0110 fix: [...]