CGS issues Widespread Home Health Edit
Probe for Utah Home Health Agencies.
This was issued based on their recent analysis of billing data for home
health agencies in Utah compared to home health agencies in other states served
by CGS. The analysis showed the state of
Utah provider’s averaged higher reimbursement per claim, higher average total
therapy visits, higher percent of claims with therapy services and higher percent
of claims with 20+ therapy visits.
The topic code for this review will be
5012W, and the probe will select claims with 10 or more therapy visits. Once selected, the claims will be reviewed
for valid FTF encounter documentation, medical necessity, compliance with all
CMS coverage guidelines, and correct billing and coding.
For more information please utilize the
following link:
1 comment:
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