- Medicare Hospice Quick Reference Sheet
- Hospice Certifying Physician Medicare Enrollment Information
- Hospice Notice of Election Termination/Revocation
- Hospice Room and Board Denials
- Professional Services During a Patient Hospice Election
- Tips to Facilitate the Change of Ownership Process
- Service Intensity Add-on Payment
- 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
- Avoiding Reason Code U5181: Appropriate Use of Occurrence Code 27/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 Appeal for Claims Rejected for an Untimely Hospice Notice of Election
- 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)
- Correcting Hospice Claims Sequentially to Avoid Reason Code U5181
- Common Working File System Edit F5052 and M5052
- 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
- Filing an Electronic Notice of Termination-Revocation of Election (Type of Bill 8XB)
- Avoiding Reason Code 7C625: Appropriate Use of Remarks on Final Hospice Claims
- Notice of Election: Timely Filing of Hospice Elections
- Hospice Claim Submission Job Aid
- Direct Mailing Notification to Hospice Providers Regarding the Hospice Benefit Component, VBID Model, Participating MAOs
- Counting 90-Day Election Periods
- Hospice Quality Reporting Program
- Filing an Electronic Notice of Election (Type of Bill 8XA)
- Hospice Prescription Drug and Infusion Pump Reporting
- Hospice Caps Job Aid
- Value-Based Insurance Design Model Hospice Benefit Component Overview
- Documentation for Hospice Transfers
- Hospice Billing Instructions for Influenza, Pneumococcal and Hepatitis B Vaccines
- Appropriate Use of Condition Code 85
- How to Correct/Avoid Reason Code U5150
- General Inpatient Check Off List
- Hospice Transfers Job Aid
- Medicare Two Tier Routine Home Care Payment Rate
- Canceling a Hospice Notice of Election
- Hospice Pricer Tool Quick Reference Tool
- How to Bill When the Hospice Face-to-Face is Late from a Previous Benefit Period
- Site of Service Codes for Continuous Home Care and General Inpatient Care Level of Service
- Hospice Payment Rates
- 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
Common Working File System Edit F5052 and M5052
Why do claims suspend for edit F5052 and M5052?
When a NOE transaction is entered into the system it goes to the FISS for editing. If the NOE passes editing in FISS for the required fields, the transaction is then sent to the appropriate CWF host site for the beneficiary information to process through CWF editing. CWF editing could take several days depending on how many host sites the transaction has to check to find the beneficiary records. CWF checks the information entered on the NOE and verifies the beneficiary information (last name, first initial of the first name, date of birth, and HIC number match. When a beneficiary file is not located at the first CWF host site, the NOE will suspend and fire edit F5052 or M5052. This edit directs the system to check another CWF host site to locate the beneficiary file. Once the beneficiary file is located and the NOE passes all other CWF editing the NOE will process and finalize.
Do I need to take any action when a NOE suspends for edit F5052 or M5052?
While the NOE is in suspense with edit code F5052 or M5052 no provider action is necessary. Hospice providers should not attempt to correct a NOE that is in suspense and has not been RTPd for corrections. If any of the information entered on the NOE is incorrect, CWF will reject the NOE and FISS will RTP the NOE to the provider for correction.
Can I submit another NOE if I have entered incorrect beneficiary information?
If a provider discovers soon after filing the NOE, a misspelled beneficiary last name or an incorrect date of birth or incorrect HIC number, a new NOE may be submitted prior to the NOE finalizing, as long as the NOE has not suspended with edit F5052 or M5052. If any other information is incorrect, the provider cannot submit another NOE prior to the incorrect NOE finalizing.