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  • About
    • Testimonials
  • Why Choose HSS
  • Services
    • Compliance, Regulatory and Auditing
    • TPE/ADR response – Medical Records Review support
    • Quality Improvement – QAPI
    • Education, Orientation, and Professional Growth
    • Financial Oversight and Cost Management
    • Clinical Programming and Support
    • Human Resources Product and Processes
    • Operations Support for Home Based Care
    • Business Development Solutions that are Clinically Based
    • Fractional Management and Oversight Services
    • Palliative Care Program Services
  • Free Hospice Success Guide
  • Blog
  • Contact

Category Archives: TPE/ADR

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  2. Category "TPE/ADR"

The Not So Subtle Art of Hospice Eligibility

The Not So Subtle Art of Hospice Eligibility

Business Development, TPE/ADRBy Hospice Support SpecialistsSeptember 13, 2022

What makes a patient eligible for hospice? Is it meeting the LCD, is it 418.20 and 418.22, or is it something else entirely? Does the patient have to decline? What do we do if we’re just not sure? If you have ever had to admit a patient, answer an additional development request (ADR) or help…

The hospice eligibility conundrum

TPE and the 2020 Final Rule NOE Requirement Issue

TPE/ADRBy Hospice Support SpecialistsSeptember 13, 2022

The hospice eligibility conundrum The resumption of the Hospice TPE as brought with it a rash of new technical denials, including denials related predominantly related to the new Notice of Election and Election of Benefit form requirements. Many hospices are finding themselves on the denial end of the TPE process as the MAC reviewers are…

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