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MedicaidReimbursementMedium impact

Attention Provider Type 64 (Hospice): Rate Update Implemented for Revenue Code 0551

Nevada Medicaid·NV · Palliative Care·Reimbursement
Effective date
Oct 1, 2023
We identified it
Jun 21, 2026
Days to comply

Summary

Nevada Medicaid has updated the reimbursement rate for revenue code 0551 (Nursing visit, skilled) for hospice providers to align with CMS mandated rates. Claims with dates of service on or after October 1, 2023 that paid the previous rate will be automatically reprocessed.

Action Required

Action needed
No immediate action required from billing teams. Nevada hospice providers should monitor future remittance advices for automatic reprocessing results of revenue code 0551 claims with dates of service on or after October 1, 2023. Be prepared that reprocessed claims may face denials due to clinical edits and follow standard appeal processes if needed.