Rise in utilization sparks scrutiny.Increased utilization of costly continuous home care is drawing unwanted attention to the service--and to hospices that provide it.Regional home health intermediary Palmetto GBA is launching a probe review of continuous home care (CHC), the RHHI says in a recent Web site posting. The probe will sample 100 claims each from California, Florida, Illinois, Ohio and Texas.If the probe turns up high denial rates, hospices everywhere can bet on increased scrutiny of continuous home care going forward.Palmetto will select claims using bill type 81x and 82x and revenue code 0652 for...
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: