AHCC Talk

Proposed 2026 codes + hospice & Medicare claims: What’s changing?


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On this episode, the panel gives a coding update, including hospice invalid principal diagnosis codes list update, a CMS update to Medicare claims, and the answer to the March coding scenario.

This month's panel includes:

  • Jan Milliman, HCS-D, Director, AHCC
  • Nanette Minton, RN, HCS-D, HCS-H, HCS-O, Senior Clinical Coding Manager, MAC Legacy


Links Mentioned in the EpisodePrincipal Diagnosis Code Reporting Update for Hospice and Manual Updates to Sections 30.3, 40.2, and 50 of Chapter 11 of the Claims Processing Manual: Processing Hospice Claims

Chapters

1:15 Hospice invalid principal diagnosis codes list updated

6:32 CMS pointed out hospice agencies must also follow ICD-10-CM coding conventions in the ICD-10-CM, Tabular List, Alphabetic Index, and official coding guidelines

9:19 CMS updated Medicare Claims, Processing Manual, Chapter 11

11:22 Processing hospice claims - principal diagnosis code reporting update: Medicare claims processing manual, chapter 11, sections 30.3, 40.2 and 50

11:48 Coordination and maintenance committee

14:58 Proposed new codes for 2026

18:50 March OASIS practice scenario answer

20:59 March OASIS practice scenario rationale

22:37 April coding practice scenario

24:00 What’s new with AHCC: AHCC Member's Webinar on May 15, 2025

...more
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AHCC TalkBy Association of Home Care Coding and Compliance