The use of utilization review nurses to decrease reimbursement denials.
Since the implementation of HCFA forms 484, 486, and 487, the home health industry has experienced a dramatic increase in the rate of reimbursement denials. One agency responded by developing a utilization review program that has successfully reduced technical and medical denials.
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D006699:Home Care Services; D006801:Humans; D007349:Insurance, Health, Reimbursement; D009726:Nurses; D014481:United States; D014600:Utilization Review / Q000639:trends*