tci Medicare Compliance & Reimbursement - 2016 Issue 13

Hospice Regulations: Expect Hospice Bookkeeping Nightmares to Continue

Proposed changes to the Hospice Item Set tool to align HIS to other post-acute care settings. Hospice providers continue to suffer from Medicare payments glitches that hit where it hurts most — the bottom line. For example: “An issue has been identified with the two separate payment rates for [Routine Home Care] services,” HHH Medicare Administrative Contractor Palmetto GBA notes in a message to providers. “On some claims, the high rate is populating on the claim for the RHC days when the low rate should have been applied.” Palmetto originally projected a July fix date...

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