CMS to Recoup, Deny Inpatient Hospital Care Claims for Hospice Terminal Diagnosis

The Centers for Medicare & Medicaid Services (CMS) has issued Change Request (CR) 8273, dated November 7, 2013, which instructs the Medicare Administrative Contractors (MACs) to implement a new edit to deny hospital inpatient claims when there is a Medicare hospice claim for the same beneficiary within the same covered period and the principal diagnosis…