Industry Note: Make Hospice Discharge Code Change Jan. 1
Home Health & Hospice Week
Industry Note:
Make Hospice Discharge Code Change Jan. 1
Published on Wed Nov 09, 2011
Starting Jan. 1, you shouldn't use occurrence code 42 on your hospice claims when the beneficiary moves without a transfer, HHH MAC CGS reminds hospices in its December newsletter for providers. In this scenario, the hospice benefit period will update with a termination date equal to the "TO" date on the claim, and a revocation indicator will post, CGS explains. Hospices also shouldn't use OC 42 when a patient transfers to another hospice or when a patient is discharged for cause, CGS adds. CGS's article is at www.cgsmedicare.com/hhh/pubs/mb_hhh/2011/12_2011/index.html#013. CMS's CR on the topic is online at www.cms.gov/Transmittals/downloads/R2258CP.pdf and the MLN Matters article is online at www.cms.gov/MLNMattersArticles/Downloads/MM7473.pdf.
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
Want to know more about Revenue Cycle Insider?
Fill out this form to get more information.
By completing this form, you are requesting to be contacted by AAPC. For more information, please refer to our Privacy Policy.
