Big Changes for Hospice Billing – MLN Matters SE18007

By Katie Wehri / Posted on: July 11, 2018 5 minutes to read

CMS recently released MLN Matters SE18007 which details recent and upcoming improvements to Medicare hospice billing. Two recent improvements – Electronic Submission of the Notice of Election (NOE) and Correcting Election or Revocation Dates using Occurrence Code 56 – are summarized and additional upcoming improvements are addressed.


Diagnosis Coding for Home Care – Tips for Success

By Melinda Gaboury / Posted on: July 2, 2018 9 minutes to read

ICD-10-CM implementation brought about many changes related to our coding world. However, several things remained the same and it is important to remember the constant factors that have not changed. Coding has always been important in home care, but is increasingly being scrutinized. Stay ahead of the game and ensure that your coding is up to par.


Hospice Utilization & Payment Public Use File

By Katie Wehri / Posted on: June 13, 2018 5 minutes to read

CMS is proposing to add Hospice Utilization and Payment Public Use File (Hospice PUF) data to Hospice Compare. The PUF data is derived primarily from hospice claims and the most current PUF data is from FY2015. The data would be in a segregated section of Compare as it contains information about hospice payments and utilization not quality measures.


Pre-Claim Review Demonstration Coming Back?

By Melinda Gaboury / Posted on: June 7, 2018 4 minutes to read

CMS released a Comment Request, via the Federal Register, regarding Pre-Claim Review Demonstration being set to return on or after October 2018 in Illinois, Ohio, North Carolina, Florida, and Texas. The revised demonstration would last five years and Illinois will kick off the demonstration again and will be followed by Ohio and North Carolina and later Texas and Florida.