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Home Health & Hospice Week

Industry Note:

Check Out Clarified Hospice Billing Instructions For Discharges

Published on Tue Jul 12, 2011

You need to use the correct codes on your hospice claims for discharged patients, or their benefit information won't be accurate. Hospices can discharge benes for three reasons, CMS notes in Transmittal No. 2258 (CR 7473) issued July 29. The bene moves or transfers to another hospice; is no longer terminally ill; or is discharged for cause. When the bene transfers, hospices should use discharge code 50 or 51 without occurrence code 42. "This discharge claim does not terminate the beneficiary's current hospice benefit period," CMS explains in a related MLN Matters article. When the bene moves without a transfer, hospices should use whatever National Uniform Billing Committee (NUBC)-approved discharge status code best describes the beneficiary's situation, CMS directs. The hospice won't report occurrence code 42 on their claim. "This discharge claim will terminate the beneficiary's current hospice benefit period as of the 'Through' date on the claim," CMS explains. [...]
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