Failing to supply medical records in response to additional documentation requests (ADRs) was Medicare Administrative Contractor (MAC) Palmetto GBA’s most common reason for denial of home health claims between April and June 2018, Palmetto data show. Face-to-face encounter requirements not met took the No. 2 slot. Denial code 56900 (Auto denial — requested records not...Read More

The Proposed New National Standardized 60-Day Episodes Rates are listed below: Proposed National Standardized Episode Rate $3,151.22 Proposed Rate (Did Not Submit Quality Data) $3,089.49 Remember your individual agency rate will be adjusted by wage index. If your patients live in a rural area you will receive an additional payment. We will go over the...Read More