Pub 100-04 Medicare Claims Processing: Corrections to Home Health Prospective Payment System (HH PPS) Outlier Limitation
Guidance that corrects errors in the calculation of the HH PPS 10 percent outlier limitation and instructs Medicare contractors to perform claim adjustments to ensure provider payments are accurate. It also serves as a re-issue of the original guidance to include implementation dates for Business Requirements 7395.1, 7395.2, 7395.3, 7395.5 (October 3, 2011); and Business Requirements 7395.4, 7395.6 (January 3, 2012).
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 06, 2011
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