HEALTHCAREfirst Announces Business Intelligence Enhancements That Help Reduce Medicare Denial Rates

Ozark, Mo. – July 2, 2013 – HEALTHCAREfirst, the pioneer in Web-based software and services for home health and hospice care, today announced important Business Intelligence Enhancements, the industry’s leading online analytics tool for home health agencies that can help reduce denials of the most common HIPPS codes.
Earlier this year, Palmetto GBA announced new medical prepay audits based on certain HIPPS codes that have the highest denial rates.

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Home Health Update: Palmetto GBA Targeting Claims with Specific HIPPS Codes

Pre-Pay Audits Set Up for Two HIPPS Groupings.
Palmetto GBA recently announced new medical prepay audits based on certain HIPPS codes that have the highest denial rates. While PGBA internally identified the top 20 HIPPS groupings that have the highest denial rate, they have currently only published and set pre-pay audits up for the following two groupings:

2CGK*
1BGP*

As a provider,

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