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.