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Improper Payment Rates Fall for Home Health and Hospice Providers

Posted on Wednesday, December 12, 2018 12:48 AM

According to the 2018 Medicare Fee-for-Service Improper Payment Data report, improper payments to home health providers fell 15% and went down close to 3% for hospice providers. 

“It is clear home health agencies have figured out what documentation is required to support valid Medicare claims,” says NAHC President William A. Dombi. “While the ‘improper payment’ rate is down dramatically, Medicare coverage of home health services has not declined. We believe recent improvements in documentation requirements by CMS that will take effect on January 1 will bring even better results in 2019.”

Home health had an overall improper payment rate of 17.6 percent, down 14.7 percent from the previous year and most of the improper payments were caused by insufficient documentation.  Hospice providers had an overall improper payment rate of 11.7 percent, a decline of three percent. Again, over 60 percent of those payments were related to insufficient documentation.

Source: NAHC Report


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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!

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