Payment Codes on Home Health Claims Will Be Matched Against Patient Assessments
Beginning on April 1, 2015, Medicare systems will compare the Health Insurance
Prospective Payment System (HIPPS) code on a Medicare home health claim to the HIPPS
code generated by the corresponding Outcomes and Assessment Information Set (OASIS)
assessment before the claim is paid. If the HIPPS code from the OASIS assessment differs,
Medicare will use the OASIS-calculated HIPPS code for payment. At this time, if no
corresponding OASIS assessment is found the claim will process normally.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 30, 2015
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