Last month CMS announced the list of hospices selected to participate in the Medicare Care Choices Model. More than 140 hospices will be participating in the model for a timeframe of five years. CMS expects that up to 150,000 eligible Medicare and dually eligible beneficiaries will be chosen to participate.
Palmetto GBA has posted the hospice medical review top denial reason codes and how to avoid them for April - June 2015. We encourage hospice provider to review this information before filing claims to help prevent denials and ensure claims are processed timely.