Home Health & Hospice Week

Industry Notes:

Hospice Comparative Billing Reports On The Way

Hospices have about a 50/50 chance of receiving information on their billing patterns from the feds. Under its fourth national provider Comparative Billing Report (CBR) cycle, CMS will issue reports to about 5,000 hospices nationwide, regional home health intermediary Palmetto GBA says on its website. "This report is centered on a peer comparison of the revenue codes used in hospice settings," NGS says in its Dec. 28 post.

The reports generated by SafeGuard Services "provide comparative data on how an individual healthcare provider compares to other providers by looking at utilization patterns for services, beneficiaries, and diagnoses billed," NGS explains.

The report is about four pages in length, SGS says on its website at www.safeguard-servicesllc.com/cbr.

Timeline: The first group of reports went out in December to hospices in CMS Region 10 states including Alaska, Idaho, Washing-ton, and Oregon, SGS says. The rest of the chosen hospices should get their reports by mid-January, says the National Association for Home Care & Hospice.

The reports will include final claims data with claims from dates of service between Jan. 1, 2009 to Dec. 31, 2009 that were processed by July 2010, SGS says. The reports will compare your data to peers in your region and nationwide.

More explanation of the data, including HCPCS and revenue codes examined, is in SGS's frequently asked questions at www.safeguardservicesllc.com/cbr/faqs.asp --" click on "Hospice."

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