License for Use of "Physicians' Current Procedural Terminology", (CPT) Fourth Edition

End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA). All Rights Reserved (or such other date of publication of CPT). CPT is a trademark of the AMA.

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The scope of this license is determined by the AMA, the copyright holder. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

This license will terminate upon notice to you if you violate the terms of this license. The AMA is a third party beneficiary to this license.

POINT AND CLICK LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT")

End User License Agreement

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February 19, 2019

Hospice Notice of Termination/Revocation (NOTR) – 8XB Billing Reminders

This article serves as a reminder for hospice providers of when it is appropriate to submit a notice of termination/revocation (type of bill 8XB). CGS often sees that hospice providers incorrectly submit NOTRs in situations where the patient actually transferred to another hospice. This can cause extra work for hospices. Hospice billing staff should review the following information to ensure NOTRs are submitted appropriately.

NOTR – 8XB

The NOTR is submitted when the hospice discharges the beneficiary or the beneficiary chooses to revoke the Medicare Hospice Benefit if the hospice has not already filed a final claim. The NOTR or final claim (8X4) must be filed within five days of the effective date the beneficiary is discharged or revoked. Refer to the following CGS resources:

When an NOTR is submitted, a revocation date is posted to the Common Working File (CWF). If the NOTR was submitted entirely in error (e.g., the beneficiary actually transferred to another hospice, rather than revoking the hospice benefit), the hospice will need to:

Cancel any claims processed in the benefit period;
Remove the election period by submitting a notice of cancelation (8XD) to remove the revocation date; and
Resubmit the corrected information.

Transfer Notice of Election – 8XC

When a beneficiary chooses to transfer from one hospice agency to another, the hospice agency that the beneficiary is transferring from submits a final claim (8X1 or 8X4). After the transferring hospice has submitted their final claim, the admitting hospice then submits a transfer Notice of Election (type of bill 8XC). CGS offers the following resources to ensure proper billing.

Transferring Beneficiary From/To Another Hospice Agency Web page
Submitting a Hospice Notice of Transfer TOB 8XC quick resource tool for details
Hospice Claims Filing Web Page – Notice of Elections (NOEs)/Transfer NOE

Please refer to the above resources to ensure proper billing.