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CMS Gives Instructions on the Probe and Educate Review

Posted on Wednesday, November 11, 2015 4:46 PM

The Centers for Medicare & Medicaid Services (CMS) has provided instructions on the Probe and Educate Review strategy for home health agencies (HHAs) with the issuance of MLN Matters® article SE1524. Home health agencies (HHAs) related to Medicare home health services and patient eligibility (certification/re-certification) have been waiting for CMS to make the announcement of the specifics regarding the implementation of the Probe and Educate plan.  This strategy is for reviewing claims submitted by HHAs to Medicare as outlined in the 2015 final rule for the home health prospective payment plan. For the full article, click here.

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