Industry Notes:
New Hospice Claims Edits To Hit In July
Published on Tue Jan 12, 2010
Are you putting the correct site-of-service data on your hospice claims? More hospice claims data means more billing rules for hospice providers. Now that hospices report site-of-service data on their hospice claims, Medicare is going to start editing claims to make sure different levels of hospice care have the correct site, the Centers for Medicare & Medicaid Services says in Feb. 5 Transmittal No. 121 (CR 6778). Starting in July, you can expect to see claims returned if your level of care doesn't correspond to the correct site of service. For example: Hospices may furnish general inpatient (GIP) care only in a hospice inpatient unit, a participating hospital, or skilled nursing facility, CMS explains in the transmittal. The system will also check for correct sites for respite care, which must occur in a hospice facility, SNF, regular nursing facility, or participating hospital, and continuous home care (CHC), which must occur at [...]