Eli's Hospice Insider
Hospices On Payment Hook For Vaccinations
PDF
Expect to get calls from other providers seeking payment for vaccinations starting this fall.
Why? That’s when a claims system edit will go in that will prevent any provider type except a hospice from receiving reimbursement for a vaccination for a hospice patient, the Centers for Medicare & Medicaid Services explains in a May 3 Transmittal (CR 8098).
“Currently, a hospice can provide vaccines (Influenza, Pneumococcal, and Hepatitis B vaccines) to those beneficiaries who request them, including those who have elected the hospice benefit,” CMS explains in the transmittal that takes effect Oct. 7. “These services are only covered when provided to hospice beneficiaries by their hospice provider. This Change Request (CR) updates Medicare systems to prevent non-hospice providers from providing vaccines to hospice beneficiaries.”
The CR is online at www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R1217OTN.pdf.
Eli's Hospice Insider
- Reimbursement:
New Coding Restrictions Will Hit Many Hospices Hard
Tip: Look to your secondary diagnoses for the ‘real’ principal code. CMS says it’s just [...] - Diagnosis Coding:
Expert: Guidance Doesn't Square With Coding Conventions
Medicare Administrative Contractor LCDs won’t save you. Authorities have been sounding the horn about using [...] - Payment:
Hospices Fear Financial Implications Under Expanded Diagnosis Code Reporting
CMS: ‘Hospices are required to provide virtually all the care that is needed ... at [...] - Payment Reform:
Future Hospice Payment May Depend On Your Coding
Plus: Coding emphasis carries some positives. Diagnosis coding may not affect your hospice payment level [...] - Referrals:
OIG Wants Prorated Hospital Pay For Discharges To Hospice
Move could lengthen hospital stays unnecessarily, CMS counters. Hospice lengths of stay may get even [...] - Hospice News:
Issue ABN For Non-Covered GIP Care, MAC Instructs
Billing questions remain for patients who want an upgrade. Hospices are wondering how to bill [...] - Hospice News:
E-Mail Misstep Led To Hospice HIPAA Breach
Make sure your staff are thoroughly trained — and reinforced — about HIPAA-compliant e-mail procedures. [...] - Hospice News:
Hospice Medical Director Guilty Of Kickbacks
A hospice medical director has been found guilty of taking kickbacks in a Medicare fraud [...] - Hospice News:
Hospices On Payment Hook For Vaccinations
Expect to get calls from other providers seeking payment for vaccinations starting this fall. Why? [...] - Hospice News:
Hospices Keep Up Pace With Facility Openings
The HHS Office of Inspector General and other authorities are scrutinizing general inpatient (GIP) care. [...] - Hospice News:
Whistleblower Suit Settlement Dogs Hospice
The hospice that settled a whistleblower lawsuit filed by a competitor is back in court [...] - Hospice News:
Struggling Nonprofit Hospice Prioritizes Marketing
Dwindling reimbursement and increased competition are causing a former hospice mainstay in Midlands, Texas to [...]