Home Health & Hospice Week

Hospice Coding:

Bolster Hospice Claims With Thorough Coding

Could a hospice case mix adjustment system be in your future? Your hospice claims continue to pique the interest of the Centers for Medicare & Medicaid Services. Now’s the time to beef up the diagnosis codes you report to help keep your claims edit-proof. Edits for hospice patients with a primary diagnosis of 331.0 (Alzheimer’s disease), 799.3 (Debility), or 496 (COPD) and a length of stay greater than 180 days continue. Plus, CMS is considering moving hospice providers to a case mix adjustment system where accurate coding is likely to play an even bigger role in how your agency is paid. Do you know how to code to ensure your reimbursement doesn’t suffer? Why is Accurate Hospice Coding Important? In the 2013 hospice wage index notice, CMS urged hospice providers to code thoroughly for their patients -- that means going beyond just listing the primary reason for hospice care, says Judy [...]
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