Palmetto GBA Focused Review Alert for Home Health Agencies
Home Health Agency Alert
Over the last several weeks, home health agencies have noticed a sharp increase in the number of ADR requests. Please know that this is not related to the HIPAA 5010 transition. It has been brought to our attention by the Focus Review Department at Palmetto GBA that they have issued a 16 state service probe review for up to 35 claims per agency which may cause agencies to receive a delay in payments as well as receive an Additional Documentation Request (ADR).
Home Care Software Solutions was approved by Palmetto GBA for ANSI 5010 production on November 22, 2011 and successfully updated our clients without the need for each agency to contact Palmetto GBA directly for set-up. CareSmart AMS & the 5010 update did not create a delay in payments from Palmetto GBA to home health agencies.