The devil’s in the details: Hospice providers face Claim Denials for Election Statement technicalities

03/01/24 at 03:00 AM

The devil’s in the details: Hospice providers face Claim Denials for Election Statement technicalities 
JDSupra, by Lanchi Nguyen Bombalier and Charmaine Mech; 2/29/24
Since the Centers for Medicare & Medicaid Services (“CMS”) paused much of its audit activity during the COVID Public Health Emergency, the most recent rounds of Medicare audit activity may represent the first “look” at the new Election Statement forms that many hospice providers adopted under the new Medicare election statement requirements effective in October 2020. Unfortunately, these initial audit results from the Medicare Administrative Contractors (“MACs”) suggest that hospice providers and MAC reviewers may not necessarily see eye-to-eye on what information must be included in the new Election Statement.

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