What is a False Claims Act investigation?
What is the False Claims Act
Tips for avoiding hospice election form denials
What is a hospice election statement? A hospice election statement is a condition of payment under Medicare. For a patient to be eligible to receive hospice services under the Medicare benefit, the patient or the patient's authorized representative must elect hospice...
What is the Hospice Election Statement requirement?
To receive hospice services under the Medicare benefit, a patient or his authorized representative must elect hospice care. If the patient or authorized representative elects to receive hospice care, the patient must file an election statement with a specific...
Medicare Credit Balance Report
What is Medicare credit balance? A Medicare credit balance represents a Medicare overpayment to a provider due to patient billing error or claims processing error that must be refunded to Medicare. The report is referred to as a Credit Balance Report...
Untimely NOE: Requesting an Exception
Hospice Acronym Alphabet Soup
Are you confused by the Acronym Alphabet Soup? Does the never ending list of acronyms used in the hospice and healthcare industry leave you confused? Are you worried that you may confuse CMN with CMP? To help sort out the confusion, we add here links to lists of...
Timely filing of Notice of Election
A hospice must file a Notice of Election (NOE) within five days after the beneficiary's hospice admission date. What is considered timely filing of an NOE? For an NOE to be considered timely: The NOE must have a receipt date within five calendar days after the hospice...
What is a MAC?
A Medicare Administrative Contractor (MAC) is a private health care insurer that has been awarded a geographic jurisdiction to process Medicare Part A and Part B medical claims for Fee For Service (FFS) beneficiaries.CMS relies on these contractors to serve as the...
How to Submit a Notice of Election
What is a Notice of Election? When a Medicare beneficiary elects hospice services, the hospice must complete an election notice with the beneficiary and file a Notice of Election (NOE) with Medicare. When must a Notice of Election be submitted? A hospice notice...
Unusual Circumstances: Face to Face Encounters
Prior to the third hospice benefit period, and prior to each subsequent benefit period, a hospice physician or nurse practitioner is required to have a face to face encounter with the hospice patient to recertify that the patient continues to be Medicare eligible for...