CBR 004 Hospice Services An Overview
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CBR 004 Hospice Services An Overview One PI CBR Overview SGS Confidential – Page 1 March 2011 Confidential Information: Use or disclosure of the data contained in this sheet is subject to restrictions of the applicable task orders for SafeGuard Services LLC.
Transcript of CBR 004 Hospice Services An Overview
CBR 004 Hospice ServicesAn Overview
One PI CBR Overview SGS Confidential – Page 1
March 2011
Confidential Information: Use or disclosure of the data contained in this sheet is subject to restrictions of the applicable task orders for SafeGuard Services LLC.
Hospice Facts and Statistics Hospice Requirements Non-Covered Services Continuous Home Care CBR Overview Frequently Asked Questions
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•1984 - January 2010: Hospices participating in Medicare rose from 31 to 3,407
•A Nearly 110-fold increase
Eligible for Part A; Terminal illness w/prognosis < 6 months Care from approved hospice Signed a statement indicating:◦ Elected the hospice benefit◦ Waives all other rights to payments for services
for the terminal illness
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Only during a period of crisis.◦ Nursing care to achieve palliation or management
of acute medical symptoms.
A minimum of eight hours of care◦ During 24-hour day◦ Beginning and ending at midnight.
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Nursing care provided by a RN or LPN.
Not intended to be used as respite care.
Billed in 15 minute increments.◦ Conversion to hours on the CBR
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Dates of Service: 1/1/2009 – 12/31/2009◦ Processed by 7/2010◦ Drawn from NCH
Four Hospice Care Settings:◦ Home Q5001, Q5002◦ Skilled Nursing Facility Q5003, Q5004◦ Freestanding Q5006◦ Inpatient Q5005, Q5007, Q5008
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Revenue Code 0651◦ Routine Home Care
Revenue Code 0652◦ Continuous Home Care
Revenue Code 0655◦ Inpatient Respite Care
Revenue Code 0656◦ General Inpatient Care
Compared to the average of CMS Region & national peers
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Q: I have specific questions about my claims. A: Ask your MAC/FI Q: The address on the letter is no longer
current; can you correct your files? A: Call the CBR Disseminator.◦ 1-888-313-9666
Q: I did not receive a comparative billing report. Would I be able to sign up to receive one?
A: Not at this time Q: Can I suggest a topic to study? A: Please do!
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Q&A
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