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Regulatory Alert: Changes in Hospice High and Low RHC Day Counts and Medication and DME Reporting

Posted on Monday, April 30, 2018 1:48 PM

CMS has consistently received comments from hospice providers detailing difficulty in determining which days are paid as high or low for routine home care.  In an effort to provide more transparency, CMS and the Medicare Administrative Contractors (MACs) decided to add value codes to the claims to show which RHC days were paid high and low rates. 

Effective October 1, 2018, Change Request 10573 instructs the MACs to create fields to show which days were paid at high RHC and low RHC.  The MAC will add a new value code to the claim. 

Click here to read the full Change Request 10573.


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Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! 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!

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