Our Products can help your organization stay educated and compliant. Shop Now >


CMS Issues New Payer-only Occurrence Code for Untimely Face-to-face Encounters

Posted on Thursday, November 19, 2015 4:18 PM

On November 6, 2015, the Centers for Medicare and Medicaid Services issued CR9385 (PDF), “Processing Hospice Denials When Face-to-Face Encounter is Not Received Timely.” This Change Request will create a new payer-only occurrence code. The code will assist in processing medical review determinations that some hospice services have been denied because of an untimely face-to-face encounter. Also, this Change Request contains no new policy. It does, however, improve the implementation of existing policy per CMS.  The effective date is April 1, 2016 for claims medically reviewed on or after this date. There is an implementation date of April 4, 2016.

About Corridor

Corridor is a trusted home health and hospice consulting partner to agencies both large and small. We provide the most up-to-date comprehensive homecare industry educational resources and consulting available.

We specialize in delivering better revenue cycle management solutions, coding and documentation review services, regulatory compliance, and healthcare consulting.

For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!

For additional information, please contact Corridor at 1-866-263-3795

Go Back