Attached are some resources that help with understanding Humana’s home health determinations. There is a brief webinar offered in the Making It Easier series for Home Health billing (link below).
Attached also is a Tip Sheet for that webinar.
Provider Support Tools
After the provider/office reviews these items, if they still disagree with the HIPPS code Humana uses, then please ask them to follow the escalation process. Attached is a document to walk them through that process.