Every hospice has been there -- a patient goes into the hospital without your knowledge or approval, and you get slapped with a whopping bill from the facility. According to CMS, you don’t necessarily have to foot the bill, depending on the situation.
If a beneficiary seeks hospital care without the hospice arranging it, the beneficiary may be liable for the cost of the hospital stay. And if the patient goes into the hospital and the hospice has no contract with the facility, the hospice can discharge the patient. The procedure would work the same as when a patient moves out of the service area. Hospices will be able to discharge with condition code 52 when this occurs.
Having expert tips like these means that you’ll perfect your compliance plan, and you’ll have less denials on your desk. That’s less stress for you. Also, your hospice will receive the ethical reimbursement it deserves. Get practical, hospice-specific guidance with Audio Educator’s expert audio conferences.
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