tci Medicare Compliance & Reimbursement - 2004 Issue 14

Home Health: HHAs Should Protect Reimbursements For Transfers

A little research can go a long way for home health agencies.One of the touchiest billing scenarios under the home health prospective payment system involves patients who transfer from one home health agency to another during their episodes. But if HHAs don't take this reimbursement bull by the horns, it could wreck their rightful payments. Transfers can present problems for agencies on both sides of the billing equation, experts note.The First Agency HHAs that have a patient switch to another agency mid-episode will see the reimbursement for that episode adjusted with a partial episode payment (PEP)...

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