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