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There is a massive $5.3 billion decrease in the estimated erroneous payments for home health medical billing services over the last few years. According to a 2018 report, the potential improper payment amount for home health medical billing services was $3.2 billion. It loosely translates into a Medicare FFS (Fee-For-Service) improper payment rate of 17.6 percent. Which is over 9.8 percent of the total Medicare improper payment rate for 2018.
First and foremost, it is vital to address the inadequate documentation for the certifications of eligibility, making sure that Medicare and doctors give access to NPPs (non-physician practitioners) to warrant that a patient is:
Now let’s go into detail regarding every certification requirement:
The certification requirements for home health services include:
Accurate documentation ensures that all necessary information is recorded, supporting the eligibility of patients for home health services. By maintaining detailed charts and notes, healthcare providers can effectively justify the need for home health care.
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