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January 23, 2018

Approved Recovery Audit (RA) Issue for Home Health Providers

Performant, the Region 5 Recovery Auditor (RA), has received approval from the Centers for Medicare & Medicaid Services (CMS) to begin home health complex review for documentation and medical necessity. This complex review applies to all home health agencies except for those in the following states: Delaware, District of Columbia, Maryland, New Jersey, North Carolina, Pennsylvania, South Carolina, Virginia, and West Virginia. This issue was approved on January 10, 2018.

Refer to the following references for Medicare guidelines related to documentation and medical necessity.

For additional information, refer to the Performant Region 5 ResourcesExternal Website Web page.

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