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Hospice ICD-10 Transition Reminders

Posted on Thursday, September 24, 2015 10:10 AM

With the ICD-10 transition only a week away, it is important for hospices to know that there remains a prohibition on use of certain diagnosis codes as the principal diagnosis on hospice claims. Hospices that fail to transition to ICD-10 codes may impact the processing of Notices of Election (NOEs) and Notices of Termination/Revocation (NOTRs). Effective October 1, 2014, hospices are required to submit NOEs and NOTRs within 5 days following the start of care, and have those notices accepted by the Medicare Administrative Contractor (MAC). The NOE requires the principal diagnosis code. Any NOEs submitted with dates of service on or after October 1, 2015 with an ICD-9 diagnosis code will be returned to provider (RTP’d)This may result in an untimely NOE and loss of some days of payment for the hospice.  Additionally, any NOTR submitted with an ICD-9 code with dates of service on or after October 1, 2015 will also be RTP’d.  Click here to read more.

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