Outpatient Services for Hospice Patients: New Edit

Related CR Release Date: November 20, 2025
MLN Matters Number: MM14219
Effective Date: April 1, 2026 
Related Change Request (CR) Number: CR 14219
Implementation Date: April 6, 2026 
Related CR Transmittal Number: R13446OTN

CR 14219 tells you about:

  • New systems’ edits will compare primary diagnosis codes on hospital and hospice claims for Medicare hospice patients to prevent duplicate payments
  • How to properly use condition code 07

Make sure your billing staff know about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)14219.

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