Home Health & Hospice Week
Heed MAC Clarification On Hospice Revocation Billing
Billing can get tricky for patients who choose to revoke their hospice election. HHH MAC NHIC offers some clarification in a newly posted question-and-answer set from its March 29 Medi-care Advantage Organization (MAO)/Hospice Claim Rejections Virtual Room session "The beneficiary chooses the effective date of the revocation," NHIC explains. "However, the time is based on when the hospice actually discharges the beneficiary from their care (due to the request for revocation)." How to bill: "The hospice is responsible for care that occurred while the beneficiary was still on service during the last day of the hospice benefit," NHIC clarifies. The day of revocation is a billable day for the hospice, HHH MAC CGS adds in a hospice revocation tool on its website. But another provider can also bill on that day. "The provider would start billing FFS Medicare on the date of the revocation," NHIC confirms. "The charges included on the bill would only be those charges that were incurred after the actual time of discharge/revocation. The provider would bill the hospice for any charges incurred prior to the time of the discharge/revocation." Resource: See CGS's tool at http://www.cgsmedicare.com/hhh/coverage/Coverage_Guidelines/Discharge_Revocations_Transfers.html.
Home Health & Hospice Week
- Medical Review:
MAC Denies Almost All Long-Stay HTN Claims
Medical necessity can be hard to prove for hypertension patients. If you're treating a patient [...] - Coverage:
Take These 8 Steps To Torpedo HTN Denials
Make patient, treatment changes the cornerstone of your documentation for hypertension patients. Don't write off [...] - Hospice:
Hospices Off The Hook For Some Hospital Costs
CMS rep answers providers' hospice coverage questions in forum. Every hospice has been there -- a [...] - Billing:
CMS Clarifies Rules For Submitting MSP Claims
Hint: Record all beneficiary insurance cards, not just the Medicare one. Don't let Medicare Secondary [...] - Reimbursement:
Your Top 3 Secondary Payer Questions Answered
Understand coordination of benefits to receive your rightful reimbursement. Still have questions about the often-confusing [...] - Industry Note:
Don't Pay Docs For Face-To-Face Documentation
Physicians must turn to Medicare for payment, Q&A says. If you cave in to physicians' [...] - Industry Note:
Facilities Pay For Late Data
Have you been wondering if Medicare would follow through on penalizing home health agencies for [...] - Industry Note:
Make Sure Your Docs Are Enrolled In PECOS Before It's Too Late
Indicators that PECOS edits may be right around the corner are increasing. Background: In May [...] - Industry Note:
New HHS Initiatives Boost Medicaid Home Care
The Department of Health and Human Services is sending mixed messages about the value of [...] - Industry Note:
OIG Blasts Use Of KX On DME Claims
You may need to get more careful about using KX modifiers on your DME claims. [...] - Industry Note:
Copay Proposals Dog Home Care Providers
The specter of copays continues to plague home care providers this budget season. After being [...] - Industry Note:
Heed MAC Clarification On Hospice Revocation Billing
Billing can get tricky for patients who choose to revoke their hospice election. HHH MAC [...] - Industry Note:
Miami HHA Owner Draws 10-Year Prison Sentence
Three Miami HHA operators who pled guilty to Medicare fraud early this year have received [...] - Industry Note:
Feds Make Another Record-Breaking Fraud Bust
Another nationwide coordinated fraud bust has taken place. Hundreds of federal agents fanned out around [...]
