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October 22, 2015

Clarification on Guidelines For an Exception Request for an Untimely NOE

The Centers for Medicare & Medicaid Services (CMS) provided Medicare Administrative Contractors (MACs) with clarification on certain requests for exception. As a result, CGS has updated the "Requesting an Exception for an Untimely NOE" Web page in regard to hospice Notice of Election (NOE) exception requests submitted for the following situations:

  • Beneficiary receives retroactive Medicare entitlement; and
  • Notice of Termination/Revocation (NOTR) is submitted with an incorrect discharge date, causing previously submitted claims and the original NOE to be backed out.

Please review this information to ensure proper documentation is submitted with your exception requests for these types of situations.

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