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Home Health & Hospice Week

Industry Note:

Say Good-Bye To Last Holdout For Late Charges

Published on Mon Oct 04, 2010

Get ready to make a hospice billing change this spring. For April 1 or later services, hospices no longer will be able to submit late charge claims, CMS says in a new MLN Matters article. Old way: Currently, hospices can submit late charges for professional services on a type of bill 815 or 825, CMS explains in MLN Matters article #MM7556. "These professional services could be processed as a late charge because they are paid a separate fee amount outside the hospice per diem payment amount," the agency notes. New way: Starting in April, hospices must make an adjustment to the original claim for the time period in which the services were provided. "To report such charges, hospices must submit an adjustment (or replacement) claim on bill type 817 or 827, placing all services for a billing period on one claim," CMS instructs. Most other provider types already aren't allowed [...]
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