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Mandated Analysis of Home Health Service Utilization From January 2016 Through March 2022

Submitting OIG: 
Department of Health & Human Services OIG
Date Issued: 
Tuesday, December 20, 2022
Agency Reviewed / Investigated: 
Department of Health & Human Services
Submitting OIG-Specific Report Number: 
A-05-20-00031
Component, if applicable: 
Centers for Medicare & Medicaid Services
Centers for Medicare and Medicaid Services
Location(s): 
United States
Type of Report: 
Audit
Questioned Costs: 
$0
Funds for Better Use: 
$0
Number of Recommendations: 
2
View Document: 
AttachmentSize
PDF icon 52000031.pdf1.9 MB

Related Open Recommendations

Recommendation Number Recommendation Status Significant Recommendation Additional Details
23-A-05-022.01 Open No
We recommend that CMS update the HH Pricer logic to check for missing and invalid FIPS codes on all home health claims and work with MACs to ensure that these claims are returned to providers for correction.
23-A-05-022.02 Open No
We recommend that CMS re-educate providers on the requirement for all home health claims to be submitted with the FIPS code for the county where the service was provided.
Displaying 2 of 2 Recommendations