CMS issued an additional data reporting
requirement for hospice claims on July 26, 2013. It states that Medicare hospices shall report
line-item visit data for hospice staff providing general inpatient care (GIP)
to hospice patients in skilled nursing facilities (site of services HCPCS code
Q5004) or in hospitals (site of service HCPCS Q5005, Q5007, and Q5008). This includes visits by hospice nurses,
hospice aides, social workers, physical therapists, occupational therapist, and
speech-language pathologists, on a line-item basis, with call and call length
reported as is done for the home levels of care. CMS is not changing existing GIP visit
reporting requirements when the site of services is a hospice inpatient unit
(site of services HCPCS code Q5006). For
all visit / call reporting, only report visits / calls by the paid hospice
staff: do not report visits by non-hospice staff.
Hospice shall report the National
Provider Identifier (NPI) of any nursing facility, hospital, or hospice
inpatient facility where the patient is receiving services, regardless of the
level of care provided, when the site of service is not the billing
hospice. Hospice shall report injectable
and non-injectable prescription drugs on their claims. Both injectable and non-injectable
prescription drugs should be reporting on claims on a line-item basis per
fill. They shall also report infusion
pumps on a line-item basis for each pump order and each medical refill.
The Voluntary Reporting for this rule is
January 1, 2014 with Mandatory Reporting Effective April 1, 2014.
For more information please utilize the
following link:
No comments:
Post a Comment