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A hospice may discharge a beneficiary in certain situations. A beneficiary or representative may choose to revoke the election of hospice care at any time.
A hospice may discharge a beneficiary in certain situations. A beneficiary or representative may choose to revoke the election of hospice care at any time.
The beneficiarys hospice results will include the following information: Effective Date. Termination Date. Revocation Code: 0 = No revocation, open spell.
Hospice dates can change if a patient revokes Hospice care. A revocation indicator of 1 (or any number other than 0) indicates the hospice benefit has been revoked. If the file indicates the hospice benefit has been revoked, you may resubmit your denied claim.
There are three reasons a hospice may discharge a patient from care: The patient is no longer terminally ill. The patients condition stabilizes or improved, and they are no longer considered terminally Ill. The patient moves out of the service area of the Hospice. Discharge for a cause.
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When patients are identified as having symptoms and treatments are being adjusted, regular phone contact during the day, evenings and weekends can assist with reducing revocation for aggressive treatment. Reducing revocation risk is a team effort.
Discharge Status Codes Medicare contractors will set the revocation indicator on a beneficiarys hospice benefit period when a hospice claim is received with any discharge status code other than 30, 40, 41, 42, 50 or 51 and when occurrence code 42 is not present.
If the patient revokes their hospice election, Medicare coverage of all benefits waived when hospice care was initially elected resumes under the original Medicare program.

hospice revocation codes