tci Medicare Compliance & Reimbursement - 2006 Issue 18

HOSPICES: Continuous Care Probe Hits Hospices

Rise in utilization sparks scrutiny.Increased utilization of costly continuous home care is drawing unwanted attention to the service--and to hospices that provide it.Regional home health intermediary Palmetto GBA is launching a probe review of continuous home care (CHC), the RHHI says in a recent Web site posting. The probe will sample 100 claims each from California, Florida, Illinois, Ohio and Texas.If the probe turns up high denial rates, hospices everywhere can bet on increased scrutiny of continuous home care going forward.Palmetto will select claims using bill type 81x and 82x and revenue code 0652 for...

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