Key Tips for Preventing Home Health & Hospice Claim Denials
The Medicare home health & hospice programs continue to be under intense scrutiny by regulatory bodies, including Medicare Administrative Contractors (MACs) that process and review claims, Comprehensive Error Rate Testing Contractors (CERT) that calculate Medicare improper payment rates, Recovery Audit Program Contractors (RAC) that retroactively investigate and identify payment errors, and Zone Program Integrity Contractors (ZPIC) that investigate fraud, waste, and abuse.
According to the Office of Inspector General’s (OIG) Fiscal Year 2017 Work Plan, it is focusing its Medicare oversight efforts on identifying and offering recommendations to reduce improper payments, prevent and deter fraud, and foster economical payment policies. It has stated that future planning efforts will include additional oversight of home health & hospice care.
What does all of this mean for home health and hospice agencies? Get our latest guides to learn more about the top reasons for Medicare claim denials and how to prevent them!