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


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


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.

Have questions? Contact us to learn how we can help.

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

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