CHA News Article

CMS Announces Home Health Audit

The Centers for Medicare & Medicaid Services has released the attached Medicare Learning Network Matters about a probe-and-educate audit of home health agency (HHA) claims. The current review focuses on HHA compliance with revised requirements for certification and re-certification of patient eligibility, which went into effect on Jan. 1.

Medicare administrative contractors began sending additional documentation requests to each HHA in their jurisdiction Oct. 1. Each HHA will be required to submit five claims for home health episodes that began on or after Aug. 1, 2015 for pre-payment review.