Changes to Hospice Medication Refill reporting on Claims October 1, 2018

As finalized in Medicare Program FY 2019 Hospice Wage Index and Payment rate Update and Hospice Quality Reporting Requirements rule in the Federal Register and Medicare Change Request 10573, Hospice agencies will no longer be required to submit details of Hospice medication refills. A summary line item for specific revenue codes is still required. Although, Agencies may still choose to submit detailed medication refills on claims without fear of claim denial.
Injectable medication refill reporting with revenue code 0636 in detail or summary on claims IS NO LONGER REQUIRED.
Non-injectable medication refill reporting for revenue code 0250 is required as a summary line item on claims with the total for the invoicing period. HCPCS or NDC codes will not longer be required. Agencies may continue to import non-injectable medication through the Hospice medication import for continued detailed claim reporting.
IV Pump and IV Pump Medication refills for revenue codes 0294 and 029x will be required as a summary line item on claims. Detailed reporting o f IV pump and IV Pump medication refills on a hospice claim will not be cause for denial.
Agencies are recommended to work with their administration and the agency Hospice Pharmacy related to determining a practice continuing detailed medication refill reporting or a change to summary line items on claims.
Agencies who have determined to report summary line items for non-injectable medication refills, IV Pump and IV pump medication refills will continue to add a Billing Sheet (Hospice Drugs) in the patients activity screen to record a line item entry summarizing the totals for each of the three revenue codes as applicable for each invoice period.