Humana recently published a claims payment policy regarding itemized bill review for inpatient routine services. This policy is found on the Humana claims payment policies page here; Type “itemized billing” in the search box.
Humana sometimes reviews an itemized bill for an inpatient admission to determine whether supplies, items and services specified on the itemized bill are separately billable. If an itemized bill is not provided when requested or if improper billing is identified during the review of an itemized bill, one or more of the following outcomes may result: reimbursement reduction, payment recoupment or denial of specific charges.
For more information, please see the previous claim processing edits and other notifications related to the Itemized Bill Review for Inpatient Routine Services policy here.