Hospice Information

Table of Contents

• Hospice Notice of Elections
• Hospice Benefit Periods

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Hospice Notice of Elections

Select Notice of Elections Information from the left-side navigation.

The Hospice Notice of Elections information section will display information if the beneficiary has currently elected to receive hospice care or has elected to receive hospice care in the past. All benefit periods and NOEs will be provided. The following information will be provided:

• NOE – The NOE is submitted to notify the Medicare contractor of the start date of the beneficiary’s election to the hospice benefit.
• NOE Receipt Date - The NOE must be submitted to Medicare, and accepted within five calendar days of the date of election in order to be timely.
• NOE Revocation Date - A Notice of Termination/Revocation (NOTR), also known by its type of bill - 8XB must be submitted to, and accepted within five calendar days after the hospice discharge or revocation, unless a final hospice claim has already been submitted.
• NOE Revocation Indicator
• NPI

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Hospice Benefit Periods

Select Hospice Benefit Periods from the left-side navigation.

The Hospice Benefit Periods information section will display information if the beneficiary has elected to receive hospice care or has elected to receive hospice care in the past.

All benefit periods will be provided based upon the claim(s) submitted by the hospice provider(s). The hospice benefit periods will be blank when there have been no claims received by CMS. The following information will be provided.

• Start Date – date displayed reflects the start date of a beneficiary’s elected benefit period of hospice coverage.
• End Date – date displayed reflects the end date of a beneficiary’s elected benefit period of hospice coverage.
• DOEBA – Date of earliest billing activity for the benefit period of hospice coverage.
• DOLBA – Date of latest billing activity for the benefit period of hospice coverage.
• Days Used – number of days used for the benefit period of hospice coverage.
• NPI the NPI for the Hospice provider for the elected benefit period of hospice coverage.
• Benefit Period