Providers must meet all 10 medical necessity requirements.Make sure your home health therapy claims meet Medicare's 10-visit threshold requirements - or an audit could show that Medicare overpaid on the claim. The HHS Office of Inspector General reviewed 40 of Connecticut Home Health Care, Inc.'s Medicare therapy services claims from October 2001 through September 2002 in an audit released May 25.The OIG sampled CHHC's therapy claims with 10 or more visits during Medicare's 60-day service period or "episode," which met the 10-visit threshold. Medicare paid CHHC's claims for 10, 11 or 12...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4200 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products: