tci Part B Insider - 2014 Issue 33

Hospice Coding: Strike Nearly 40 Dx Codes off Your List for Hospice Claims

Debility, Adult Failure to Thrive, Dementia codes and more will get your claim kicked back to you under new edits. You have only about two short weeks to rid your hospice claims of banned diagnoses, or you’ll pay the price in reduced cash flow. CMS finalized plans to ban Debility (799.3, 780.79/R53.81) and Adult Failure to Thrive (783.7/ R62.7) in previous payment rules. Now CMS has issued marching orders to the MACs to put the edits in place Oct. 1, as previously scheduled. “The principal diagnosis reported on the claim should be...

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