tci Medicare Compliance & Reimbursement - 2011 Issue 10

Industry Notes

Proving services unrelated to terminal Dx may get harder. It may be wise to beef up your documentation for services your hospice patients receive that aren't related to the terminal diagnosis. Under Medicare payment rules, the hospice per diem payment rate does not have to cover services that are unrelated to the terminal diagnosis for the patient. But regional CMS offices are seeing "misunderstandings" about what fits into that category, CMS's Lori Anderson said at the National Association for Home Care & Hospice's March on Washington conference March 28. "A terminal diagnosis is not one ICD-9 code," Anderson...

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