PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs.

Q:

Do you know how providers should handle the October claims that are either overpaying or underpaying since PDPM went into effect?

A:

To be sure, I suggest you inquire with the MAC. But CMS has indicated that they are aware of under/over payments and that providers do not need to take action; CMS will automatically reprocess the claim.

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Blog by Stacy Baker, OTR/L, CHC, RAC-CT, Director of Audit Services, Proactive Medical Review

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