Outpatient Facility Coding Alert - 2008 Issue 2
PHYSICIAN NOTES: Hospices--Shore Up Your Claims Data
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Article Overview
This piece is aimed at hospice billing and coding professionals who need to understand recent CMS reporting expectations and related Medicare policy updates. It summarizes the general scope of the hospice claims documentation changes discussed in an MLN Matters article, then briefly notes CMS updates affecting durable medical equipment competitive bidding and ambulatory surgical center fee schedule information. The article is relevant for readers tracking Medicare claims accuracy, facility billing, and CMS publication updates.
Why This Topic Matters
Hospice and other Medicare claims depend on accurate reporting and current CMS guidance. This article helps readers identify where reporting requirements and policy notices may affect claim submission practices and reimbursement workflows.
Article Sections
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Hospice claims reporting updates
Discusses CMS guidance on hospice claim detail expectations and the types of visit information referenced in the article. It also notes a hospice diagnosis limitation mentioned by CMS.
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Competitive bidding program update
Summarizes a CMS announcement about expansion of the competitive bidding program and the general categories of equipment and supplies involved.
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Ambulatory Surgical Center fee schedule information
Describes a CMS publication on ambulatory surgical center fee schedule topics, including general coverage and claim routing information for certain services and items.
What You Will Learn
- What CMS says about the scope of hospice claims reporting updates
- What general hospice claim documentation topics are highlighted in the MLN Matters reference
- What CMS says about broader Medicare competitive bidding changes
- What the ambulatory surgical center fee schedule publication is intended to cover
- Where the article directs readers for additional CMS resources
Who Should Read This
- Hospice billers
- Medical coders
- Revenue cycle staff
- Medicare compliance staff
- Ambulatory surgical center billing staff
- Durable medical equipment billing staff
Codes Discussed
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