Hospice Claims Review

Hospice Claims Review 

Our consultant specialists will perform a comprehensive review of the hospice documentation to validate the billed HCPCS code for service location, HCPCS codes for visit disciplines (SN, CNS, SW, etc.), units, diagnoses codes, and billable supplies. A thorough review of the medical record documentation against the hospital final billed claim will confirm reporting accuracy. The key documents such as the certification of terminal illness, plan of care, and Interdisciplinary group (IDG/IDT) meetings are reviewed for completeness and accuracy in accordance with the episode of care.