Corrections to Home Health Processing - Claims with Condition DR or Claims Receiving Admission Source Edits
The purpose of this Change Request (CR) is to no longer bypass the edit requiring a matching patient assessment when a home health (HH) claim reports condition code DR. It also corrects processing of HH claims to ensure the medical review information is not lost if a reviewed claim later receives an admission source edit.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: June 29, 2023
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