Tag: visits

OIG: Medicare overpaid HHAs nationally $191.8 million in audit period

A recent OIG report suggests that the MACs could be recouping money they believe was incorrectly paid for home health episodes that ended with five to seven visits, slightly above the LUPA thresholds in PPS. And they could be enforcing stricter oversight of periods just above new LUPA thresholds in PDGM. Twenty out of 25 […]

Ask the expert: Physician visit schedule

Q: My question is in regard to physician visits and certification. When a resident who is in a Medicare A stay, returns to the hospital and is admitted, does the 14, 30, 60, etc. physician visit schedule start over? I cannot locate this information. A: When a resident in a Medicare Part A stay is […]