Industry Notes: Wait Until October for These Home Health Payment Fixes

Why This Topic Matters

Home health agencies may be affected by incorrect claim payment calculations and recoding behavior until the Medicare changes take effect. Understanding the scope of the fix helps billing and reimbursement teams anticipate claim adjustments and system updates.

Article Sections

1. Home health claim pricing issue and planned correction

   Summarizes a payment-processing issue affecting HH Pricer calculations and the scheduled correction timeframe described by CMS.

2. Recoding logic issue affecting therapy visit scenarios

   Covers a separate HH Pricer recoding problem involving therapy visit thresholds and authorization-related data, along with the related correction effort.

3. Types of Bill and frequency code changes

   Describes updates needed to support specific home health bill types and the new frequency code handling discussed in the article.