Hello, i am currently a home health reimbursement specialist for 15 years, i never have heard such billing practice. Submit your claim with both am and pm visits, episodes are paid per HHRG score. if this claim has more visits than the amount to be paid. The claim will qualify to be paid on a threshold basis, qualifing as an outlier payment (more money, then the actual HHRG score). Snice duplicate claims have been submitted, any subsequent claims will be rejected. Auto cancel any final paid claim, usually ending in 339 or 329, rebill your claim, and follow up for payment pb9997. no modifier in this situation. good luck and great question