tci Part B Insider - 2011 Issue 11

In other news

Hospices that aren't documenting their long-stay hospice patients' terminal diagnoses carefully might as well say "goodbye" to their Medicare reimbursement for them.Two ongoing edits of long-stay hospice patients' claims by Cahaba GBA have seen high denial rates, the carrier says in its March newsletter for providers.Edit #1: Edit topic code 5037T targets claims with lengths of stay greater than 730 days, Cahaba explains in the Newsline. From October to December 2010, the edit saw a dollar denial rate of 69 percent, up from 53 percent a year ago.Edit #2: Edit topic code 5048T selects claims with...

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