Industry Note:
Incomplete HETS Info Ups Hospice Claim Risk
Published on Fri Aug 30, 2013
Hospices fed up with denials due to in-complete hospice eligibility information aren’t getting much help from their MAC, but a solution is on the horizon. Question: "Since the HIPAA Eligibility Transaction System (HETS) only looks back 27 months for reporting prior hospice benefit periods, will providers be held liable for beneficiaries who have used two or more benefit periods prior [...]