Posted on Wednesday, February 17, 2016 9:15 AM
As of July 1, CMS will implement a new condition code for home health claims to process even when skilled nursing services aren’t involved. Currently, home health claims submitted without skilled nursing visits are automatically returned to the provider. In certain circumstances, home health agencies are unable to deliver the skilled services planned, like an unexpected inpatient admission. Therefore, the agency is required to submit documentation to the Medicare Administrator Contractor for payment review. The new condition code would eliminate that step. For the full article, click here.
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