Posted on Thursday, November 19, 2015 4:18 PM
On November 6, 2015, the Centers for Medicare and Medicaid Services issued CR9385 (PDF), “Processing Hospice Denials When Face-to-Face Encounter is Not Received Timely.” This Change Request will create a new payer-only occurrence code. The code will assist in processing medical review determinations that some hospice services have been denied because of an untimely face-to-face encounter. Also, this Change Request contains no new policy. It does, however, improve the implementation of existing policy per CMS. The effective date is April 1, 2016 for claims medically reviewed on or after this date. There is an implementation date of April 4, 2016.
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Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!
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