Hospice: CMS’ records indicate that the beneficiary is not entitled to Medicare coverage for the type of services billed on the claim. Therefore, no Medicare payment can be made.
Avoiding/Correcting This Error
Verify that the MBI on the claim is for the correct beneficiary.
If the MBI is correct, verify the beneficiary’s entitlement information, correct, and resubmit if appropriate.
If the MBI is incorrect, submit a new bill with the correct MBI.
If you are billing for a rejection in order to bill another insurer, you have accomplished what you wished to do.