I don't know much about this, but here it goes! We were told that before
our facility can bill for outpatient services, the patient needs to be
officially "closed out" by their home health agency. Apparently what was
happening was that Medicare considered the patient to be open for 60 days
with home health. When in fact, they were in home health 2 weeks, and then
to our facility for outpatient therapies. I guess when we went to bill, we
were denied, because they were still in home health. Does anyone know
anything about this and what procedures to follow to ensure proper payment??
Right now, we've had 2 denied. So we are no longer accepting patients for
outpatient if they've been in home health.
THANKS
TERRI :0)
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