Recovery Audit Contractor Adds Continuous Home Care Issue

The Recovery Audit Contractor (RAC), Performant, added a hospice issue this month to the list of CMS-approved issues, Issue 0201 – Hospice Continuous Home Care: Medical Necessity and Documentation Requirements. The review will determine if hospice Continuous Home Care (CHC) services were reasonable and necessary to achieve palliation and management of the patient’s acute medical…

Recovery Audit Contractor (RAC) Issues Pertaining to Hospice

Hospices should be aware of the following Recovery Audit Contractor (RAC) issues pertaining to hospice patients. Physician Services During Hospice Period – 8/16/2018 DME While in Hospice – 9/20/2018 Outpatient Hospice-Related Services – 11/28/2018 Each of these issues looks at non-hospice providers and whether the reason for the service is related to the hospice diagnosis.…