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Hospice Billing Guidelines

Date: 04/19/18

Heritage Health (Medicaid):

Hospice services are billed to Nebraska Total Care on Form CMS-1450, “Health Insurance Claim Form”.

Type of Bill Required

Valid hospice bill types = 81_ and 82-_

For hospice services Nebraska Total Care allows the following revenue codes:

  • 651 - Routine Home Care
  • 652 - Continuous Home Care
  • 655 - Inpatient Respite Care
  • 656 - General Inpatient Care

*Note: No other revenue codes are accepted.

The revenue codes must be billed with the appropriate corresponding HCPC as follows:

  • T2042- Routine Home Care
  • T2043 - Continuous Home Care
  • T2044 - Inpatient Respite Care
  • T2045 - General Inpatient Care

*Note: No other procedure codes are accepted. Only one procedure code per day may be billed.

For further clarification review Nebraska Medicaid regulations in section 471-36-000 (PDF) and Appendix 471-000-81 (PDF).

For assistance please contact Provider Services at 1-844-385-2192 (TTY 711) or contact your Provider Relations Representative.