Medicare Compliance & Reimbursement

Industry Notes

RN, LPN G Codes for Hospice Won’t be Out for a While

Hospices have a lot to do to get up to speed with new billing rules that will take effect Jan. 1, but they’ll have to wait a bit longer to cover all the details.

Why? The Centers for Medicare & Medicaid Services (CMS) hoped to have billing instructions for hospice payment reform issued shortly after the 2016 final rule came out. “We hit a snag and could not issue them,” explained CMS’s Wil Gehne in the Aug. 12 Open Door Forum for home care and hospice providers.

Still waiting: The G codes for RNs and LPNs, required for determining Service Intensity Add-On payments in the last seven days of life, can’t be issued via transmittal, Gehne noted. They will come out with the next HCPCS quarterly update, sometime after Oct. 1.