tci Medicare Compliance & Reimbursement - 2005 Issue 3
Hospice: Docs Can't Double-Counsel On Hospice Care
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Article Overview
This article covers CMS instructions for a new hospice consultation payment policy under Medicare, including billing pathway, claim requirements, timing, and payment limitations. It is relevant to hospice administrators, physicians, coders, and billing staff who work with Medicare hospice claims and related CMS transmittals. The article also situates the guidance in a specific CMS change request and effective date, helping readers understand the administrative context of the new service.
Why This Topic Matters
Hospice billing rules can affect claim submission, payment, and denial risk. This guidance matters because it describes a new Medicare hospice consultation service and the claim conditions tied to it.
What You Will Learn
- What CMS says about the new hospice consultation service
- How the service fits into Medicare hospice billing
- What claim-level limitations and payment conditions are discussed
- How the guidance is tied to a CMS change request and effective date
Who Should Read This
- Hospice administrators
- Physicians
- Medical coders
- Billing specialists
- Revenue cycle staff
Codes Discussed
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