Home Health & Hospice Week
Industry Note:
Consider Adjustments For Dementia Coding Update
Published on Thu May 17, 2012
If you use dementia codes 294.20, (Dementia, unspecified, without behavioral disturbance) and 294.21 (Dementia, unspecified, with behavioral disturbance) frequently, you should look at your past claims for possible adjustment. These two new ICD-9 codes took effect Oct. 1, 2011, but Medicare's home health prospective payment system grouper didn't count them as case mix diagnoses until Jan. 1, 2012. "Home Health agencies may want to review any claims with dates of service submitted from October 1, 2011 through December 31, 2011 to make a business decision as to whether or not to adjust the claim based upon a different HIPPS score determination," CMS says in a message to providers.
Other Articles in this issue of
Home Health & Hospice Week
- Regulations:
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