tci Medicare Compliance & Reimbursement - 2006 Issue 18

MEDICAL REVIEW: Combat Continuous Care Scrutiny With 6 Steps

Watch for red flags that could suggest over-utilization.Hospices that want to weather the coming storm over continuous care can heed these expert tips:1. Bill correctly. Hospices must understand the requirements of CHC and make sure they are billing the service accurately. For example, if a hospice furnishes even one more hour of aide service than RN or LPN service, it can't bill CHC and must bill the much lower routine home care rate instead."Hospice is not meant to be ongoing shift care and used too often," maintains consultant Sharon Litwin with 5 Star Consultants in Ballwin...

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