NEWSFLASH: New Occurrence Code Reporting in October

Home Health & Hospice Agencies Required to Use New Code.

Starting October 1, 2012, Home Health and Hospice agencies will be required to use occurrence code 55 to indicate a date of death on claims.

Occurrence code 55 and the date of death must be present when the following patient discharge status codes are used:

  • 20 (expired) Home Health Only
  • 40 (expired at home)
  • 41 (expired in a medical facility)
  • 42 (expired – place unknown)

Medicare will implement claims edits to ensure that occurrence code 55 is present in the above scenarios with dates of service on or after Oct 1, 2012.

HEALTHCAREfirst will post a reminder in September for recipients of the blog and will send providers using HEALTHCAREfirst software information about billing checks implemented to assist with these changes.

Click here to view the full Change request
Click here to view the MLN Matters article