MACs Release Additional Q & A on Hospice Claim Data Reporting
April 25, 2014 03:42 PM
Hospice claims for dates of services on or after April 1, 2014, must comply with the additional data reporting requirements issued by the Centers for Medicare & Medicaid Services (CMS) as part of Change Request (CR) 8358. These requirements include reporting of:
- Line item visit data for hospice staff provided under general inpatient care (GIP) in skilled nursing facilities (SNF) or hospitals
- NPI of nursing facility, hospital, or hospice inpatient facility where patient receives services (if not billing hospice)
- PM visits (occurring on date of death) for hospice employed nurses, aides, social workers and therapist
- Injectable prescription drugs
- Non-injectable prescription drugs
- Infusion pumps and medication refills
CR 8358 has generated a great deal of concern among hospice providers and vendors; in response Medicare’s Administrative Contractors (MAC) have put forth significant effort to secure accurate answers to the many questions they have received. On Friday, April 25, 2014, the MACs issued a second iteration of a series of Q & A related to CR 8358 that are now available online on the NGS and Palmetto websites.
The revised Q & A (Version 1.2) includes a guide at the end of the document that provides a description of questions that have been revised as well as a list of questions that have been newly addressed as part of the most current version. The revisions to previous Q & A do not represent substantive changes but do provide further clarification of certain issues. The MACs have indicated that there are additional questions that they are still researching, so the hospice community should expect additional revisions to the Q & A document at some time in the near future.
For the convenience of our readers, a link to the updated Q & A document issued by NGS is available here.