New at Noyce Consulting — hospice

DM and Its Related Conditions -- New ICD-10 Direction

Insulin injection

Confused about new diabetes ICD-10 coding rules?

You're not alone.

The newly published direction to code as related any potential manifestation listed in the ICD-10 alphabetical index is a 180-degree turn from what diagnosis coders have done for years.


Code as Linked DM and Any Condition Listed Under "With" in Alpha Index

Beth Noyce

Tags diabetes, home care, Home Health, hospice, ICD-10

Physicians no longer need to confirm a link between diabetes and any condition that appears as a potential manifestation of diabetes in the ICD-10 Index below diabetes' subentry "with."


Help for hospice professionals suffering from regulatory whiplash

Person typing on a laptop

You're likely too busy with patient care and follow up from your latest CMS-inspired QAPI project to know what Medicare plans to change in the hospice world next. Even if you had time, would you read all 140 pages of regulatory language in the the FY 2017 hospice proposed rule CMS posted April 21?
That's why I've been studying it. So I can fill you in on some important important proposals CMS published. For example:


What's your take on CMS' 2017 Hospice Proposed Rule?

Typing on a laptop

Submit your comments here if you see things in hospice differently than does CMS' proposals and the rationale for proposals in the FY 2017 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements (FY 2017 Hospice Proposed Rule) posted Thursday (4.28.16).

Your views could persuade CMS to write a more hospice-strengthening version for the FY 2017 Hospice Final Rule.


Survey Deficiencies May Expose Home Health & Hospice to False Claims Act Suits, Pending Supreme Court Decision

Supreme Court

NAHC announced today (20 April 2016) that the Supreme Court is considering arguments made yesterday (19 April 2016) that billing CMS for home health or hospice services implies that the billing agency complies with all Conditions of Participation.

"The U.S. Supreme Court heard arguments on April 19, 2016 in a case that has broad implications for any provider doing business with Medicaid and/or Medicare. . .