Posted on Monday, May 16, 2016 1:25 PM
A report by the Department of Health and Human Services Office of Inspector General (OIG) proves that insufficient documentation in home health is the main cause of Medicare fee-for-service improper payments. The report tracked a federal audit that concluded $268 million in 2015 was improperly billed Medicare.
In summary, HHS was unsuccessful in meeting a number of goals. Under IPIA, the Medicare fee-for-service error rate percentage should not have surpassed 10% in 2015. The rate was 12.9% for the fiscal year.
“HHS documented that insufficient documentation was particularly prevalent for home health claims,” the report findings read.
The OIG’s recommend the following for HHS:
• “Proactively take action” for the upcoming fiscal year
• Establish target rates for improper payments
• Improve communication between federal payers and providers
For the full article, click here.
About Corridor
Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!
For additional information, please contact Corridor at 1-866-263-3795.
