Outpatient Facility Coding Alert - 2004 Issue 45
Hospice: Hospices Look To New Billing Opportunities
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Article Overview
This article covers a new Medicare hospice reimbursement opportunity created by CMS for hospice consultation-related services. It is aimed at hospice administrators, billing staff, and hospice physicians who need to understand the general scope of the CMS guidance, the affected setting, and the operational requirements discussed in the article. The piece focuses on the policy update, who may furnish the service, how patients may enter the process, and what documentation issues CMS highlighted.
Why This Topic Matters
Hospices that follow CMS payment policy need to know when new billable services become available and what eligibility, staffing, referral, and recordkeeping requirements apply. This article helps readers assess whether the change may affect hospice operations and reimbursement workflows.
What You Will Learn
- The general purpose of the new hospice billing opportunity
- Which types of hospice personnel are addressed by the CMS guidance
- What broad eligibility, referral, and documentation issues CMS discussed
- How the update relates to Medicare hospice reimbursement processes
Who Should Read This
- Hospice administrators
- Hospice billing staff
- Hospice medical directors
- Hospice-employed physicians
- Medicare compliance staff
Codes Discussed
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