Hospice/Home health articles

Hospice/Home health

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Hospice/Home Health -- additional resources

Here are additional educational resources identified specifically for hospice and home health care.

What physicians need to know: home health patient-driven groupings model (PDGM)

In November 2018, the CMS finalized a new case-mix classification model, the PDGM, effective beginning January 1, 2020. The PDGM relies more heavily on clinical characteristics and other patient…

Checklist: Home health referrals

Medicare home health referrals must contain information in the medical record from the certifying physician and/or acute/post-acute care facility justifying the referral. Use this checklist to gain…

Hospice: New requirement for physicians who certify patient eligibility

Physicians who certify patient eligibility for hospice services must enroll in Medicare or opt out effective for claims submitted on October 7 and after with dates of service June 3 or later.

Avoiding hospice claim rejects

Providers billing Medicare should determine if a patient is enrolled in hospice before billing Medicare Part A. This article has tips on checking patient eligibility and avoiding hospice claim…

Checklist: Home health referrals

Medicare home health referrals must contain information in the medical record from the certifying physician and/or acute/post-acute care facility justifying the referral. Use this checklist to gain…

Hospice: New requirement for physicians who certify patient eligibility

Physicians who certify patient eligibility for hospice services must enroll in Medicare or opt out effective for claims submitted on October 7 and after with dates of service June 3 or later.