Home Health Low Utilization Payment Adjustment Threshold: Bill Correctly 

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

In a report, the Office of Inspector General found that Medicare improperly paid some claims for home health services with 5–7 visits in a payment episode. Review home health prospective payment system (PPS) information to properly bill for services slightly above the low utilization payment adjustment threshold.

Visit the Home Health PPS webpagefor additional resources and the latest policy and payment updates: