Eli's Rehab Report
Is A Hospice Patient Qualified for Therapy?
Question: A resident was admitted to our skilled nursing facility for a respite stay under hospice (within a 30-day hospitalization), and the family wants her to receive skilled therapy for the admitting diagnosis of a s/p hip fracture under Medicare A. Can the resident receive skilled therapy services and be carried under hospice at the same time?’
Answer: Yes, says Kansas Department for Aging and Disability Services (KDADS). According to the Medicare Benefit A Policy Manual (Chapter 9, Section 20.3), “a beneficiary could be in a SNF under the SNF benefit for a condition unrelated to the terminal condition and simultaneously be receiving hospice for a terminal condition.”
Important: Also be sure to include condition code 07 on the UB04 to reiterate that the hospice service is unrelated to the reason for the Medicare Part A stay, notes Marilyn Mines, RN, BC, RAC-CT, senior manager of clinical services for FROST Healthcare in Deerfield, Ill.
Eli's Rehab Report
- Worker's Comp:
Extended Cases? Know When to Hold 'Em and When to Fold 'Em
Learn how to avoid sending red flags to your worker’s comp payers. Do you have [...] - Therapy Claims:
Tighten Up Your Claims With These 10 Tips
Hint: Medicare may not reimburse all therapy modalities on same day service. Do you keep [...] - ICD-10 Transition:
Prevent SNF Billing Snafus After ICD-10 Implementation
Plus: Arm yourself with a wealth of information from these new resources from CMS. If [...] - Reader Questions:
Is A Hospice Patient Qualified for Therapy?
Question: A resident was admitted to our skilled nursing facility for a respite stay under hospice [...] - Reader Questions:
Check Out This Help From Medicare's Billing Manual
Question: Can I count therapy minutes on a “skip day” (when the resident is not in [...] - Reader Questions:
Grasp the Group Therapy Billing Nitty-Gritty
Question: What code(s) should be used to bill for a Medicare patient’s participation in group therapy [...] - Industry Notes
Is ICD-10 Delayed for A Year? When the Centers for Medicare & Medicaid Services (CMS) [...]
