Effective July 1 2022, a claims processing edit to prevent gap billing between hospice transfers will be implemented. Per Change Request (CR) 12619 Gap Billing Between Hospice Transfers, a patient can change hospices only once per benefit period (60-day or 90-day). When the patient transfers to a different hospice, he or she continues in the same benefit period. To transfer hospice programs, the individual or representative must file, with the hospice from which care has been given and with the newly designated hospice, a statement that includes the following information:
CMS Expands Medicare Coverage For Lung Cancer Screening
The Centers for Medicare & Medicaid Services (CMS) announced a national coverage determination (NCD) that expands coverage for lung cancer screening with low dose computed tomography (LDCT) to improve health outcomes for people with lung cancer.
The Hospital at Home Program Is Having Challenges: What Does this Mean for Hospital Billing Services?
We’ve discussed the Hospital at Home program and its impact on hospital revenue cycle management and home health billing before. But recently, there have been reports of problems with waivers. As you investigate hospital billing services, we want to keep you up to date on what’s going on.
Medical Billing and Coding: What to Expect in 2022
To make sure your strategic decisions around medical billing and coding services are always up to date, we keep our eye on changes across the industry.
CMS Updates DMEPOS Requirements
The Centers for Medicare & Medicaid Services (CMS) has added 31 items and deleted 5 items on the Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS) Master List. Additionally, effective April 13, 2022, CMS is selecting items beyond Power Mobility Devices (PMDs) that require a face-to-face encounter and written order prior to delivery as a condition of payment.
