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Humana Inc. Overcharged Medicare Nearly $200 Million, Federal Audit Finds

Home About Services Billing Compliance Review Claims Adjustments & Appeals Outsourced Billing & Pre-Billing Audits Training & Education News & Events Resources & Helpful Links Contact Humana Inc. Overcharged Medicare Nearly $200 Million, Federal Audit Finds https://www.npr.org/sections/health-shots/2021/04/20/988817003/humana-inc-overcharged-medicare-nearly-200-million-federal-audit-finds CONTACT OFFICE: 972.564.9548  |  FAX: 972.564.9549FORNEY, TX 75126 STAY CONNECTED Facebook Twitter Linkedin Copyright © 2021 HomeHealthBillingToGo.com

iQIES Issues with System Generated Final Validation Reports

This message is to inform you that iQIES is currently experiencing issues with the system generated final validation reports. This could include a delay in receiving your system generated final validation report or the inability to open the system generated final validation report. As a workaround, please manually request your final validation report. Our team …

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RESOLVED: Home Health: Reason Code U5391, Fields on the Requests for Anticipated Payments (RAPs) and Final Claim Information Do Not Match

RESOLVED: Home Health: Reason Code U5391, Fields on the Requests for Anticipated Payments (RAPs) and Final Claim Information Do Not Match Home Health: Reason Code U5391, Fields on the Requests for Anticipated Payments (RAPs) and Final Claim Information Do Not Match Current Status Date Resolved 2/17/2021 Status: When agencies use the new exception from MLN/CR 11855 and submit …

RESOLVED: Home Health: Reason Code U5391, Fields on the Requests for Anticipated Payments (RAPs) and Final Claim Information Do Not Match Read More »

38107 1st day not of period not matching final claim 0023 line

RESOLVED: Home Health: Reason Code 38107: Fields on the Requests for Anticipated Payments (RAPs) and Final Claim Information Do Not Match Home Health: Reason Code 38107: Fields on the Requests for Anticipated Payments (RAPs) and Final Claim Information Do Not Match Current Status Date Resolved 2/17/2021 Status: When agencies use the new exception from MLN/CR 11855 and …

38107 1st day not of period not matching final claim 0023 line Read More »

Medicare Claims Spanning 2020-2021 Incorrect Claim Payments

Home Health: Claims Spanning 2020-2021 Not Applying Correct 2021 Payment Rate Home Health: Claims Spanning 2020-2021 Not Applying Correct 2021 Payment Rate Current Status Date Open 2/11/2021 Status: The system maintainer and CMS are aware of this issue. Provider Action: No provider action is necessary at this time. We will provide updates when applicable. Issue Description The …

Medicare Claims Spanning 2020-2021 Incorrect Claim Payments Read More »


Home Health Billing to Go, Inc. is now offering
full service PCR Clinical Review. Service includes:
Review of clinical record for PCR compliance,
submission of PCR request and/or billing services.
Please contact us at
pcrinfo@homehealthbillingtogo.com
for additional information.