Medicare has updated the improper payment rate and denial reasons for the 2022 reporting period.
For the 2022 reporting period, insufficient documentation accounted for 34.9% of improper payments for home health services, while no documentation (4.0%), medical necessity (42.3%), incorrect coding (3.0%), and “other” errors (15.8%) caused other improper payments. The primary reason for these errors is missing or insufficient documentation supporting the certification of home health eligibility requirements.
Medicare coverage of home health services requires physician certification of…
