Medicare_Claims_Processing_Manual / Change_Request_5117

Why This Topic Matters

Hospice organizations and related facility providers need this guidance to understand when beneficiary notices are part of Medicare liability protection and how changes in coverage termination processes affect notice handling and documentation. It helps billing, compliance, and patient communication teams stay aligned with CMS manual policy.

Article Sections

1. II. Business Requirements

   Administrative requirements and implementation-related statements tied to the manual update. The source notes unavailable chart content and general requirement language.

2. III. Provider Education

   Provider education material associated with the update. The source indicates that the chart content is unavailable in the provided text.

3. IV. Supporting Information and Possible Design Considerations

   Supplementary implementation information, including instructions, design considerations, interfaces, dependencies, testing, and workload or funding notes.

4. V. Schedule, Contacts, and Funding

   Effective and implementation dates, contact information, and funding-related notes for the change request.

5. 50.9 - Special Issues Associated with the Advance Beneficiary Notice (ABN) for Hospice Providers

   General guidance on hospice beneficiary notices, liability protection scenarios, and situations where notice language may apply. The section also discusses hospice-related facility interactions and notice responsibilities.

6. 50.9.1 - Special Issues Associated with ABNs and Expedited Determinations for Hospice Providers and Comprehensive Outpatient Rehabilitation Facilities (CORFs)

   Guidance on how expedited review processes affect notice requirements for hospice providers and CORFs, including the relationship between covered care termination and beneficiary liability notice procedures.