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Home Health & Hospice Week

Hospice:

Follow These 7 Steps To Head Off Hospice GIP Denials

Published on Thu Jun 21, 2012

Make sure each GIP day can stand on its own.Your hospice General Inpatient claims may soon be under fire, if they're not already. Everyone from the OIG to the FBI to Medicare contractors has their sites trained on this higher-paying hospice service (see Eli's HCW, Vol. XXI, No. 22).Heed this expert advice to hold onto the GIP reimbursement you've rightfully earned:1. Paint the whole picture. Documentation for your GIP claims needs to show exactly why patients qualify for the increased level of care. The Centers for Medicare & Medicaid Services pays about $151 for a routine home care day versus $671 for a GIP day, and CMS wants to make sure it's getting its money's worth. "Make sure the picture is being painted" for the level of hospice care received, CMS's Latesha Walker urged attendees at an industry conference last year.Reviewers want to see exactly what symptoms the hospice is [...]
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