Hello all!

In the event that a hospice agency has missed a face to face for a Medicare Hospice patient residing in a MN LTCF under MN Medicaid and the agency completes an administrative discharge and readmits the following day to correct the issue, how is the room and board billing to be handled? 

1.        Does the MNMA form with discharge and readmit information need to be sent to alert DHS? Or would this not be necessary in the case of an administrative discharge for Medicare purposes?

2.       Can the hospice continue to bill R&B to Medicaid for the Medicare provider liable days of hospice care?

3.       Usually, I believe we cannot bill room and board for the date of hospice discharge.  So, would the LTCF bill Medicaid directly for just the date of discharge?

 

Thanks in advance for any guidance you can provide!