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.
Have questions? Contact us to learn how we can help.
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Proactive PDPM Resources
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Blog by Stacy Baker, OTR/L, CHC, RAC-CT, Director of Audit Services, Proactive Medical Review
Click here to learn more about Stacy and the rest of the Proactive team.
