Home Health & Hospice Week

Industry Note:

Slow-Declining' Diagnoses Top Hospice Denial List

You should cast a sharp eye on any hospice claims you submit with a primary diagnosis of Alzheimer's, dementia, failure to thrive, or debility -- because your MAC is going to.

In the fourth quarter of 2011, one of hospices' top denial reasons was for terminal prognosis, HHH MAC NHIC said in its Hospice POE Advisory Group Meeting last month. Slow-declining diagnoses such as those listed above were most common in the denials, NHIC said according to the meeting minutes.

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