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Hospice Claim Adjustments

August 20, 2016 by Jill Schuerman

Hospice Claim Adjustments Will Correct Routine Home Care Day Count

Two recent systems issues caused routine home care days to be miscounted on hospice claims:

  • Systems were not counting days that should receive high routine home care payments if a revocation was posted on the benefit period before the final claim was submitted. A correction was implemented on May 9, 2016.
  • Systems were using the election date instead of the admission date when a prior hospice period was involved. A correction was implemented on July 25, 2016.
  • Medicare Administrative Contactors are adjusting hospice claims to correct payment. Hospices do not need to take any action.

 

https://www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Downloads/2016-08-18-eNews.pdf

Filed Under: Hospice Billing Information Tagged With: Hospice Claim Adjustments

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Schuerman Business Consulting

Jill Schuerman, Founder and CEO
Schuerman Business Consulting, LLC
PO Box 50625
Denton, TX 76206-0625

469-931-8151

jills@hospice-billing.com
www.hospice-billing.com

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