The payment
system will change beginning January 1, 2016.
The National Routine Home Care Rate for days 1 to 60 will be $183.17 and
the National Routine Home Care Rate for days 61+ will be $143.94. Remember that these rates will be adjusted to
the wage index based on where the patient resides. You will also have to bill RN’s separate from
LPN/LVN’s and utilize 15 minute billing increments. We will certainly have more instructions from
CMS regarding hospice billing.
The new
payment rules and rate for 2016 defined a hospice episode of care and how that
impact the counting of hospice days. We
recommend you work with your software vendors to ensure they can tract your
episodes of care correctly, be able to bill the appropriate code and rate
beginning January 1, 2016, and be able to bill the Services Intensity Add-on
Payment for the last seven days of a patient’s life.
In case you
missed the hospice payment rules for FY 2016 we have attached a link below:
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