Home Health & Hospice

Under CR 8813, what revisions to home health diagnosis reporting guidelines took effect on January 1?

Homecare Insider, January 12, 2015

Under the new guidance outlined in CR 8813, the principal diagnosis reported on a home health claim must be the ICD-9-CM code that is most closely related to the plan of care—not a manifestation code. The change request instructs MACs to apply the "Manifestation code as principal diagnosis" edit to noncompliant claims and return them to providers.