North Carolina Medicaid: Submitting hospice claims for members in SNFs
AI Summary
North Carolina Medicaid has clarified billing procedures for hospice services in skilled nursing facilities to prevent duplicate billing denials. Hospice providers must bill UnitedHealthcare Community Plan of North Carolina for room and board services on behalf of SNFs using specific revenue codes (0658 for intermediate care, 0659 for skilled care) and then reimburse the SNF directly.
Action Required
Immediately: Hospice billing teams must ensure only hospice providers (not SNFs) submit room and board claims to UnitedHealthcare Community Plan of North Carolina. Update billing workflows to use revenue codes 0658 for intermediate care and 0659 for skilled care. Enter SNF NPI in Service Facility Provider field and hospice NPI in Attending Provider field. Coordinate with SNFs to prevent duplicate billing which results in claim denials.
Plan Types
Medicaid
States
NC
Specialties
palliative-care