title: Avoiding denials due to ICD-9-CM coding.
abstract: Regional Home Health Intermediaries (RHHIs) continually report a high incidence of PPS denials due to incorrect diagnosis. These down-coded claims result in a lower payment to agencies for services already provided. This article helps clinicians and clinical managers address processes in their agency to assure denials are diminished and, hopefully, eliminated.
authors.affiliation: prinny@hiqm.com
authors.forename: Prinny Rose
authors.initials: PR
authors.lastname: Abraham
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S.; D003951:Diagnostic Errors; D004194:Disease / Q000145:classification*; D006699:Home Care Services / Q000191:economics*; D006801:Humans; D007345:Insurance Claim Review; D038801:International Classification of Diseases; D011445:Prospective Payment System; D014481:United States