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Hospice Compliance Changes Effective October 1, 2015

Posted on Thursday, October 1, 2015 3:25 PM

There are several regulatory requirements with an effective date of October 1, 2015 for hospice providers. All Diagnoses on the Claim Form
  • For service dates of October 1, 2015 and going forward, all diagnoses (related & unrelated) must be entered on the hospice claim form; this is a provision in the FY2016 Final Hospice Wage Index rule.
  • An unrelated diagnosis on the claim form does not necessarily equal hospice responsibility.  If a hospice physician determines that a diagnosis does not medically contribute to the terminal prognosis, he/she should document why it does not medically contribute to the terminal prognosis in the clinical record.

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