Home Health & Hospice Week

Hospice:

No Hospice F2F? You Must Discharge From Medicare

CMS sheds light on face-to-face gray areas in new questions and answers. If you miss getting a hospice patient's faceto-face encounter visit in the 30 days before her third benefit period starts, more than reimbursement is at stake. You'll need to do a Medicare discharge and readmission. So said the Centers for Medicare & Medicaid Services in a March 28 session at the National Association for Home Care & Hospice's annual March on Washington conference. A recent question-and-answer set issued by CMS backs up this new instruction. Hospices have to terminate a Medicare episode when they don't secure the F2F in time, CMS's Lori Anderson explained. Then they can start back up when the F2F is completed. That means the hospice will have to do a full readmission, Anderson said in response to a question from an attendee. "It would be a break in service," she said. "There's no wiggle [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Home Health & Hospice Week

View All