Here is some additional information regarding the use of telehealth (visits not in person) for visits.1. Phone calls used by social workers to arrange for placement of patient (for respite, GIP, long term move to new location), have always been “reportable” on hospice claims.2. Phone calls by social workers, or any other staff member to gain/provide information to update the plan of care in between visits are NOT “reportable” on hospice claims.For telehealth visits, please find the link below on what software/apps are allowed, and not allowed, to be used without a potential HIPPA violation.
First, we want to thank you for all your are doing in your communities, and putting yourselves at risk during this time.We’ve had many questions about the use of telehealth visits for hospice staff members, so I’ve reached out to my contacts at Palmetto for confirmation. This is the response:Telehealth visits by physicians for symptom control are “reportable”, ie listed on hospice claims. They report the visit to you, you put on the claim, Medicare pays you, you pay the physician.Telehealth visits by NP and Medical Directors for F2F are now allowed, but not “reportable”Telehealth visits by any other hospice staff are not “reportable” on the hospice claims. Therefore, you should NOT use your regular visits in your EMR because they will show on their claim.You will need to set up “non reportable” telehealth visits in your software if you are using telehealth visits for some of your staff. If CMS determines they want reportable, we can track and report later.Remember, as of now, the 14 day RN visit rule to update the plan of care has not been waived. At least do a telehealth nursing visit and document in your software and update your plan of care. That visit is not reportable.We expect to see alot of the hospice claims coming out with just a few visits on the claim because either alot of visits are not being made by multiple staff members, or the visits are being made via telehealth and not reportable. Thank you
Fourth quarter FY 2018 Program for Evaluating Payment Patterns Electronic Reports (PEPPERs) are available
These reports summarize provider-specific data statistics for Medicare services that may be at risk for improper payments. Use your data to support internal auditing and monitoring activities.
Hospices, LTCHs and free-standing SNFs and IRFs: For instructions on obtaining your PEPPER, see the Secure PEPPER Access Guide
For More Information:
Visit the PEPPER Resources website (https://pepper.cbrpepper.org/) for guides, recorded training sessions, QualityNet account information, frequently asked questions, and examples of how other hospitals are using the report
Visit the Help Desk if you have questions or need help obtaining your report
Schuerman Business Consulting, LLC. (www.hospice-billing.com) will have an exhibition booth at the Texas and New Mexico Hospice Organizations 2019 Annual Meeting. The TNMHO 2019 Annual Meeting is being held at the Onmi Mandaly Hotel, Irving Texas February 23-25, 2019.
Please join Jill Schuerman and the Hospice-Billing.com team at the Schuerman Business Consulting booth. Our team will be there to answer questions about our services. Please stop by the booth and enter a drawing for a Hospice Helper Wheel. We will be giving away a wheel every hour.
We look forward to seeing old friends and meeting new friends.
Schuerman Business Consulting, LLC.
PO Box 50625