decisionhealth Newsletters, Answer Books - 2008 Issue 5 (May)
Medicare_Carriers_Manual / 4175 / 4175
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Article Overview
This article covers Medicare hospice election policy and the administrative handling of related claims under the Medicare Carriers Manual. It is relevant to billing staff, coders, and claims personnel working with hospice-related Medicare coverage, eligibility, notices, and coordination between the hospice, intermediary, and carrier. The guidance focuses on how hospice election affects coverage and what information is used to process associated claims.
Why This Topic Matters
Hospice election can change which Medicare benefits remain payable and how claims are handled. Understanding the manual’s administrative requirements helps prevent processing errors and supports correct coordination among providers and Medicare entities.
Article Sections
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Ed. Note: For further information see
A short editorial note points readers to related hospice care material in another manual chapter.
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4175. Claims Involving Beneficiaries Who Have Elected Hospice Coverage
This section describes hospice election under Medicare Part A, the effect of that election on coverage during the hospice period, and the basic claims-notice workflow involving hospice-related information.
What You Will Learn
- How hospice election is described in Medicare manual guidance
- What parties exchange hospice admission and election information
- How hospice-related claims coordination is handled at a high level
- Which general Medicare entities are involved in hospice claim administration
Who Should Read This
- Medical coders
- Billing staff
- Claims processors
- Revenue cycle professionals
- Hospice administrative staff
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