CMS Announced the Approval for Home Health Prior Authorization Requirement
Posted on Thursday, February 11, 2016 3:13 PM
CMS announced the approval for a Medicare Probable Fraud Measurement Pilot in five states. Under the program, home health agencies are required to perform prior authorization before processing claims for services. The procedure is comparable to the PMD, which CMS implemented in 2012 and requires prior authorization for scooters and power wheelchairs within seven states with high population of fraud-and error-prone providers. The program ensures that payments for home health services are appropriate before the claims are paid, eventually leading to prevention of fraud, waste and abuse. The Medicare Probable Fraud Measurement Pilot is in the beginning stages, however an open public comment period will run until April 5, 2016. For the full article, click here.
Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!
For additional information, please contact Corridor at 1-866-263-3795.Go Back