OCHCH Bulletin December 23rd, 2019

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An Easily Accessible Bulletin!

We are doing our best work in making sure that the Weekly Bulletin can easily be visually scanned, so that you can get the information and save time! So the emails will contain the headlines from the entire bulletin. However, since this is a benefit exclusive to our members, all of the links and full stories will still be archived for your convenience on the member portal! If you forgot your password, just click here and recover it easily!

This post contains:

Snapshot Updates
Help Desk Question of the Week
PDGM and RCD Updates
Regulatory Updates
News and more!

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Bulletin- December 23rd, 2019

Snapshot:

HOSPICE: CMS Releases Long-awaited Details on MA/Hospice Carve-in Demonstration Planned for CY2021, NAHC List Serve, December 20, 2019
HOME HEALTH and HOSPICE: MBI Transition Ends This Month: Will You Be Paid On January 1? – Palmetto GBA

Click here to See ALL of the Bulletin Headlines!

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RCD Updates

OCHCH Members: Thank you very much for participating in OCHCH’s December 20th RCD WEEKLY CALL!

OCHCH recently launched an awareness campaign to provide your agency with the assistance, information, resources, and training you need to tackle the challenges of RCD and PDGM. This campaign is called OPERATION: tackle.

As part of OPERATION: tackle we are hosting weekly conference calls on RCD that started on October 25th and will continue for the foreseeable future. These conference calls will provide an opportunity for us to share the latest developments of RCD, for you to share your challenges, and for our members to share best practices in a real time environment.

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Help Desk Question of the Week

Helpdesk Question of the Week –

HOSPICE: Place of Service Codes (Q Codes)

Question: What place of service code should be used for a hospice patient who resides in a SNF and is receiving routine home care?

Answer: There has been some confusion about using the appropriate site on service codes for Hospice patients who reside in a SNF. Please see the guidance below from the Hospice Medicare Claims Manual:

Q5004 shall be used for hospice patients in a skilled nursing facility (SNF), or hospice patients in the SNF portion of a dually-certified nursing facility. There are 4 situations where this would occur:
1) If the beneficiary is receiving hospice care in a solely-certified SNF.
2) If the beneficiary is receiving general inpatient care in the SNF.
3) If the beneficiary is in a SNF receiving SNF care under the Medicare SNF benefit for a condition unrelated to the terminal illness and related conditions, and is receiving hospice routine home care; this is uncommon.
4) If the beneficiary is receiving inpatient respite care in a SNF.

If a beneficiary is in a nursing facility but doesn’t meet the criteria above for Q5004, the site shall be coded as Q5003, for a long term care nursing facility.

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PDGM Updates

OCHCH Members: Thank you very much for participating in OCHCH’s December 17th PDGM WEEKLY CALL!

OPERATION: tackle PDGM
The OCHCH campaign to support your agency’s PDGM needs is up and running!

We will not be scheduling any calls during the holidays. This means that the first 2020 Weekly PDGM Conference Call will be on Tuesday, January 7, 2020 at 3pm.

DON’T MISS THIS OPPORTUNITY!! Please mark your calendars for EVERY TUESDAY @ 3pm. The calls will last no more than an hour.

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