RE: Adjusting Hospice Claims Reprocessed Due to Increase Per Diem Rate for Nursing Facilities related to COVID-19 Health Emergency
Due to a claims processing rule that Medicaid will not pay more than the submitted charges on the claim, some hospice claims for procedure code T2046-SE, reprocesseddue to the increased per diem rate, did not pay the increased rate. Therefore, hospice providers will need to initiate an adjustment for claims paid between March 1, 2020 and the April 17 th checkwrite.
The billed amount on the adjusted claims must include the $20 per diem increase. Either the original claim or the adjusted claim, processed by DXC, can be used to initiate the adjustment. If you have any further questions, you may contact a DXC Provider Representative for assistance at1-855-523-9170 then the seven-digit extension below.