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Billing codes must specify RN vs. LPN January 1st

Beth Noyce

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Huddle up, hospice and Home Health providers! Come January 1, 2016, hospice and home health claims must specify whether an RN or LPN delivered the skilled nursing service on each line item. If you needed more evidence that scrutiny of the hospice industry is the healthcare industry with more rapidly increasing scrutiny than other providers who bill Medicare, you’ll find it in Change Request 9369, dated October 16, 2015. Details appear in italicized red in the Transmittal 3378 of the CMS Medicare Claims Processing Manual. But here are the basics, in Medicare’s own words: “This Change Request creates new codes...