Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.16

Payment When Death Occurs During an HH PPS Episode/Period

Last amended: 2021Year: 2021Length: 110 wordsOfficial source
10.1.16 - Payment When Death Occurs During an HH PPS Episode/Period (Rev. 10758; Issued: 05-11-21; Effective: 01-01-22; Implementation: 08-11-21) If a beneficiary dies during a period of care, full payment will be made for the period, including payment adjustments applicable to given services actually delivered prior to death. However, there is one exception. Partial period payment adjustments will not apply to the claim, because no more home care can be delivered in the 30-day period. The Statement Covers Period “through” date on the claim in which the beneficiary died should be the date of death. Such claims may be submitted earlier than the 30th day of the period of care.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.16: Payment When Death Occurs During an HH PPS Episode/Period | Justis AI