Eli's Hospice Insider
Hospice News:
Beware This LCD Change
Published on Fri Dec 20, 2019
Don’t expect to get diagnosis coding specifics in your Local Coverage Decisions going forward. “It is no longer appropriate to include Current Procedure Terminology (CPT) codes or International Classification of Diseases-Tenth Revision-Clinical Modification (ICD-10-CM) codes in the LCDs,” the Centers for Medicare & Medicaid Services says in an update to the Medicare Program Integrity Manual’s chapter on LCDs. “All CPT and ICD-10-CM codes shall be removed from LCDs and placed in billing & coding articles or Policy Articles that are to be published to the MCD and related to the LCD.” See the PIM chapter at www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c13.pdf.
Other Articles in this issue of
Eli's Hospice Insider
- Fraud & Abuse:
GAO Takes Its Turn To Criticize Hospice Surveys
Surveyors should look at live discharge rate, new report urges. More evidence that the feds [...] - Compliance:
Alternative Sanctions May Prove A Double-Edged Sword For Hospices
Warning: CMPs can put you out of business faster than decertification. If you think alternative [...] - Surveys & Certification:
Majority Of Cases Reviewed Failed Aide Supervisory Visit Requirement
Watch out: Tougher enforcement is ahead. With so much going on for hospices, it’s easy [...] - Reimbursement:
Out With The Old, In With The New: MBIs
Warning: Don’t drag your feet on the transition to billing with new Medicare numbers. Along [...] - Budget:
Advisory Agency Wants Hospice Rates To Stay Flat, Cap To Go Down
Will lawmakers listen to MedPAC? Taking the spotlight as Medicare’s newest fraud-prone industry means Congress [...] - Hospice News:
Report To Congress Features Hospice Fraud
OIG applauds DRG proration. The HHS Office of Inspector General’s Semiannual Report to Congress is [...] - Hospice News:
Watch Out: SIP Window Is Closing
Hospices interested in participating in Medicare’s forthcoming Primary Care First Model’s Seriously Ill Population (SIP) [...] - Hospice News:
Regional Chain Makes South Carolina Acquisition
Heart of Hospice based in Columbia, South Carolina, has purchased the operations of Heartstrings Hospice, [...] - Hospice News:
LHC-LifePoint Buy 2 More Agencies
LHC Group Inc. and LifePoint Health are further expanding their joint venture with acquisitions of [...] - Hospice News:
State Pays Millions To Settle False Claims Charges
State governments and hospice fraud settlements don’t usually go hand-in-hand, but a recent case is [...] - Hospice News:
Hospital Moves To Finalize Hospice Sale
Graham Regional Medical Center in Graham, Texas, has gotten approval to accept an undisclosed offer [...] - Hospice News:
Watch For These Increases In 2020
Along with the New Year come increases in patient payment amounts and more. In 2020, [...] - Hospice News:
Did You Miss This Claim Resubmission Requirement?
Don’t lose out on your rightful reimbursement because you fail to resubmit claims that were [...] - Hospice News:
Beware This LCD Change
Don’t expect to get diagnosis coding specifics in your Local Coverage Decisions going forward. “It [...]
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