Industry Note:
Beware This LUPA Billing Glitch
Published on Fri Apr 08, 2016
Hospice pay reform change causes HHA underpayments. A newly reported billing error related to nursing G codes could be short-changing your shortest-stay claims. The problem: “Medicare systems used HCPCS code G0154 in the criteria for identifying the earliest visit date when calculating low utilization payment adjustments (LUPA) add-on amounts. G0154 was retired ... and replaced with HCPCS codes G0299 or [...]