Home Health & Hospice Week

Industry Notes:

Learn Drug Reporting Lessons From New MAC Tool

The Centers for Medicare & Medicaid Services may have fixed the claims system glitch affecting hospice claims with infusion pump charges, but hospice providers are still running into plenty of other problems when it comes to reporting drugs on claims.

HHH Medicare Administrative Contractor CGS is offering a helping hand on the matter. The MAC’s new Hospice Prescription Drug Reporting Table quick resource tool “was developed to provide information on how to report prescription drugs on hospice claims,” CGS says in a message to pro-viders. “Keep this tool handy to ensure the appropriate billing information is submitted based on how the drug is administered,” the MAC says.

For example: “The 0250 revenue code line only requires a valid value (i.e., whole number) because the actual units (quantity) are reported in the NDC field,” the tool explains. “Providers can report a unit of ‘1’ or any other value that may assist them internally.”

The tool is at www.cgsmedicare.com/hhh/education/materials/pdf/hospice_presdrugreporting table.pdf.

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