Eli's Hospice Insider

Published on Thu Apr 18, 2019 PDF

Claims system will reject certain notices starting in July.

Medicare has tweaked new billing rules that soon will allow only a hospice actively serving a patient to file a Notice of Revocation/Termination for that patient.

Starting July 1, the claims system will reject an incoming NOTR if the provider CMS Certification Number (CCN) matches the CCN on the hospice election period, and transfer or change of ownership dates are present on a hospice benefit period, and no claims have processed within the benefit period after the revocation date, and the CCN does not match the CCN associated with the latest transfer or change or ownership date on the hospice benefit period, the Centers for Medicare & Medicaid Services explained when it released the instructions in late December 2018.

Now CMS adds that the system will reject the claim when “the provider CCN matches the CCN on the hospice election period or matches a previous transfer or change of ownership CCN that is not the latest,” in addition to the other criteria, the agency says in updated Change Request 11049 and its related MLN Matters article.

See the article updated March 14, which includes a link to the updated CR, at www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM11049.pdf.