Eli's Hospice Insider
Get Hospice Monthly Billing Details Right
Hospice monthly billing may not always be as straightforward as it seems. "Providers whose claims include a patient status code of ‘30’ must ensure that the TO date on the claim is the last day of the billing (calendar) month," HHH Medicare Administrative Contractor CGS says on its website. "In addition, a claim’s dates of service cannot span more than one month. This means that the month reported in the FROM and TO date fields must be the same," the MAC continues.
Avoid this: "We are aware that some hospice billing software is splitting claims if there is a recertification within the month, or when a service location changes," CGS adds. "Providers whose software is splitting claims need to correct this issue, or risk claims being returned for correction (RTP)."
Eli's Hospice Insider
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Get Hospice Monthly Billing Details Right
Hospice monthly billing may not always be as straightforward as it seems. "Providers whose claims [...]
