CMS has issued Change Request (CR) 9027 to notify providers of new edits in Original Medicare systems to ensure Low Utilization Payment Adjustment (LUPA) payments under the Home Health Prospective Payment System (HH PPS) are made appropriately. CR 9027 clarifies billing instructions for HH PPS claims. Please note, no new policy is created by CR 9027 – these new requirements improve the enforcement of existing Original Medicare payment policies. Make sure your billing staff is aware of these changes.
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