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August 31, 2020

Reminder: How to Correct an Erroneously Submitted Hospice Election Date

Change Request (CR) 10064External PDF included updates to the Medicare Claims Processing Manual, Publication 100-04 with billing instructions for correcting a Notice of Election (NOE) election date, and a revocation date on a Notice of Termination/Revocation (NOTR). The following is a reminder for hospice providers on how to correct an erroneously submitted election date on an NOE without having to cancel the NOE and then resubmit. Please share the following information with your billing staff.

Correcting NOE Election Date
Have you ever submitted an incorrect admission (election) date on the NOE? When an incorrect admission date is submitted, you no longer need to cancel the incorrect NOE and resubmit a new NOE. Instead, you just need to submit a corrected NOE with the billing elements provided below.

This allows the corrected NOE to retain the receipt date of the original (incorrect) NOE. If your original (incorrect) NOE was submitted timely, the corrected NOE will also be considered timely and there would be no need to request an exception (KX modifier) when submitting the claim.

Billing elements for a Corrected NOE:

  • Submit the correct election date in the From and Admission Date fields
  • Submit the original election date using occurrence code 56
  • Submit condition code D0 (zero).

Note: If the occurrence code 56 and condition code D0 are not submitted together, the NOE will be sent to the Return to Provider file with reason code 34981.

Example: Initial NOE was submitted with the Admit date of 05/17/XX. The actual Admit date is 05/07/XX. To correct the election date, submit a new/corrected NOE with the following:

Type of Bill (TOB)

8XA

Statement Covers Period (From)

Enter 0507XX in the 'FROM' date field.

Statement Covers Period (Through)

Enter 0507XX in the 'THROUGH' date field if the NOE is being submitted via EDI (batch file).

Leave this field blank if the NOE is submitted via the Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE).

Admission Date

Enter 0507XX (correct admit date)

Condition Code

Enter D0 (the number zero)

Occurrence Code and Date

Enter Occurrence Code 27 and 0507XX (correct admit date)

Occurrence Code and Date

Enter Occurrence Code 56 and 0517XX (incorrect admit date)

Please note, that if you choose not to follow this process and instead cancel the incorrect NOE and resubmit a corrected NOE, a new receipt date will be applied. As a result, the resubmitted NOE would likely be untimely. An exception request would only be granted if the cancel is done within 2 business days and the corrected NOE is resubmitted within 2 business days.

Refer to the following for additional information:

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