Dombi - winter 2017
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MA plans have begun auditing home health claims on a post-pay basis,<br />
including MI<br />
Some using a contractor: SCIO<br />
Focus on technical compliance issues<br />
◦ Signed physician orders<br />
◦ F2F requirements<br />
◦ Pre-2015 therapy needs assessments<br />
◦ OASIS<br />
HHAs not aware that MA plans required compliance with technical Medicare<br />
FFS standards<br />
Significant back liabilities<br />
Costly appeals processes
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