Palmetto GBA A/B MAC will be performing pre-payment service-specific probe medical review on Hospice claims for Routine Home Care Services, provided in Patient’s Home Q5001, Assisted Living Facility Q5002, LT/Non-Skilled Nursing Facility Q5003, and Skilled Nursing Facility Q5004. Providers who receive an Additional Documentation Request (ADR) must submit the requested medical record information within 45 days of the date listed on the ADR using one of the methods listed in this article.
Applies to:
JM Home Health and Hospice//General