(PDGM) Claims HIPPS Codes are Being Recoded Incorrectly


Excerpt from the article link below:

The HIPPS code on Home Health Patient-Driven Groupings Model (PDGM) claims are being recoded incorrectly. The claims are approving/paying with the incorrect recode, but are being paid at an incorrect rate due to the recode. This is causing overpayments and underpayments. 

Status: This issue has been reported to the system maintainer and a fix to resolve this issue is anticipated in May 2020.




Posted Wednesday, March 25, 2020 by farrah@barnestorm.com
http://kb.barnestorm.biz/KnowledgebaseArticle51510.aspx