Corporate

June 5, 2018

Hospices Workaround For Transfers in a Benefit Period

Previously, Medicare issued the Medicare Learning Network (MLN) MattersĀ® article, SE17014 (https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNmattersArticles/downloads/SE17014.pdfExternal Website).Ā  This article provided a workaround instructing hospices to report the benefit period start date as the admission date on your claim in the case of transfers. This was necessary to ensure the days provided by another hospice were counted when determining the correct Service Intensity Add-on (SIA) payment.

Please note that Change Request (CR)10180 will implement changes to correctly identify prior days in transfer situations; therefore, hospices no longer need to use this workaround as of July 2, 2018, the implementation date of CR10180. The corresponding MLN article, MM10180 is available at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNmattersArticles/downloads/mm10180.pdfExternal Website. Be sure your billing staffs are aware of this update.


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