- Medicare Hospice Quick Reference Sheet
- Hospice Certifying Physician Medicare Enrollment Information
- Hospice Claim Reporting Requirements for Attending and Certifying Physicians
- 17729 Hospice Claim Edit for Certifying Physicians
- Billing Hospice Transfers
- Hospice Notice of Election Termination/Revocation (Type of Bill 8xB)
- Hospice Room and Board Denials
- Professional Services During a Patient Hospice Election
- Incarcerated or Unlawfully Present in the U.S. Claim Rejections (U538H, U538Q)
- Termination of the Hospice Benefit Component of the VBID Model on 12/31/2024
- Counting 60-Day Election Periods
- Untimely Filed Notice of Election Circumstance Exception: Medicare Beneficiary Is Granted Retroactive Medicare Entitlement
- Hospice Billing Codes Chart
- Appropriate Use of Occurrence Code 27 and Occurrence Span Code 77
- Hospice Notice of Change of Ownership
- Filing an Electronic Notice of Change of Ownership (TOB 8XE)
- Hospice Change of Ownership
- Filing an Electronic Notice of Cancelation (Type of Bill 8XD)
- Filing an Electronic Notice of Transfer (Type of Bill 8XC)
- Counting 60-Day Election Periods - Leap Year
- Hospice Site of Service Codes
- Billing Hospice Physician, Nurse Practitioner and Physician Assistant Services (Related To Terminal Diagnosis)
- Hospice Visit Reporting
- The Medicare Hospice Benefit: Effects on Other Provider Types
- Counting 90-Day Election Periods - Leap Year
- Reporting Hospice Discharges, Revocations and Transfers
- Avoiding Reason Code 7C625: Appropriate Use of Remarks on Final Hospice Claims
- Hospice Claim Submission Job Aid
- Counting 90-Day Election Periods
- Hospice Quality Reporting Program
- Filing an Electronic Notice of Election (Type of Bill 8XA)
- Value-Based Insurance Design Model Hospice Benefit Component Overview
- Documentation for Hospice Transfers
- Hospice Billing Instructions for Influenza, Pneumococcal and Hepatitis B Vaccines
- Canceling a Hospice Notice of Election
- How to Bill When the Hospice Face-to-Face is Late from a Previous Benefit Period
- Billing Medicare for a Denial - Condition Code 21
- Reminder on Deleting Revenue Code Line(s) in the Fiscal Intermediary Standard System Direct Data Entry System
Termination of the Hospice Benefit Component of the VBID Model on 12/31/2024
After carefully considering recent feedback about the increasing operational challenges of the Hospice Benefit Component and limited and decreasing participation among MAOs that may impact a thorough evaluation, CMS has decided to conclude the Hospice Benefit Component as of 12/31/2024, 11:59 p.m. CMS will not accept applications to the previously released CY 2025 Request for Applications for the Hospice Benefit Component of the VBID Model.
Starting 1/1/2025, any hospice services provided to MA enrollees who were previously covered under the Hospice Benefit Component (VBID) will transition back to being covered by Original Medicare, also known as the Medicare FFS Program. This means that financial responsibility for these hospice services will no longer fall under the MA plans but will be handled by Original Medicare instead.
If a patient's hospice election extends beyond the termination date of the Hospice Benefit Component (VBID), hospice providers should not discharge them solely due to their coverage under a plan that was participating in the Hospice Benefit Component (VBID) before CY 2025. Additionally, for those hospice elections that carry over into 2025, there will be no need to submit new NOEs. This ensures continuity of care for patients under hospice and minimizes administrative burdens for hospice providers.
During the model years, hospices were required to submit NOEs and all hospice claims to their MAC for informational purposes, as part of the monitoring and evaluation process. This was intended to ensure a smooth billing transition when Original Medicare assumes financial responsibility after the model concludes.
Starting 1/1/2025, Original Medicare will become financially responsible for sequential claims submitted for services provided on or after that date. If a hospice did not adhere to the informational billing requirements during the model, claims with dates of service from 1/1/2025, onwards that are associated with a late NOE (received 1/6/2025, or later) may incur late NOE penalties. However, exceptions may be made if the delay in submitting a timely NOE was beyond the hospice’s control.
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Posted 11/25/2024