Home Health coding red flags

Top Claims Denial Reasons from MACs

by daryl
June 8, 2023July 19, 2023

Home health agencies greatly benefit from being aware of the top reasons for claims denials by MACs. It helps save valuable time and resources in rectifying denied claims and reduces the likelihood of receiving Additional Development Requests (ADRs) from CMS,… Read More »Top Claims Denial Reasons from MACs

Coding Reminders and Red Flags

by daryl
May 25, 2023May 31, 2023

Accurate and case-specific coding is vital for success under the Patient-Driven Groupings Model (PDGM). It ensures proper payment and addresses patients’ healthcare needs. Submitting claims with coding errors can result in claim returns and long-term consequences. Agencies consistently submitting invalid… Read More »Coding Reminders and Red Flags