Hospice - Continuous Care Billing

linda@barnestorm.com — Wed, 06 May 2026 03:32:07 GMT

Continuous home care is to be provided only during periods of crisis to maintain the beneficiary at home. See more tips below.

Hospice continuous home care (CHC) is billed when a patient experiences a crisis requiring more intensive nursing care, typically at least 8 hours in a 24-hour period, to manage symptoms.
A minimum of 8 hours of nursing care must be provided within a 24-hour period (midnight to midnight).
The majority of the care hours (over 50%) must be provided by a registered nurse (RN), licensed practical nurse (LPN), or licensed vocational nurse (LVN).
The need for CHC and the specific care provided must be documented in the patient's medical record.
Revenue code 0652 is used when billing for continuous home care.
Hours are billed in 15-minute increments, and a minimum of 32 units (8 hours) must be billed to receive the CHC rate.
If the minimum 8 hours of CHC are not met, the day is billed as routine home care.

Medicare and Medicaid may have specific guidelines and coverage for CHC. Contact payer for guidance.
Medicaid coverage for CHC can vary by state. Contact Medicaid for guidance.

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