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A study on reasons for hospice revocations that result in hospital admissions identified eight primary causes for revocation: Patient does not fully understand hospice care. A lack of clarity about disease prognosis. A desire to continue receiving care from nonhospice physicians and hospital.

Revocation of the Election A hospice revocation is a beneficiary's choice to no longer receive Medicare covered hospice benefits. To revoke the election of hospice care, the beneficiary/representative must give a signed written statement of revocation to the hospice.

A study on reasons for hospice revocations that result in hospital admissions identified eight primary causes for revocation: Patient does not fully understand hospice care. A lack of clarity about disease prognosis. A desire to continue receiving care from nonhospice physicians and hospital.

A revocation indicator of “1” (or any number other than “0”) indicates the hospice benefit has been revoked. If the file indicates the hospice benefit has been revoked, you may resubmit your denied claim.

The Notice of Election (NOE), Type of Bill (TOB) 8XA, is submitted when the hospice receives a signed election statement from the beneficiary acknowledging that he/she wishes to enroll in the Medicare Hospice Benefit. The NOE must be submitted to Medicare within 5 days of the date of election in order to be timely.

Steps to cancel an NOE Before canceling the NOE, the provider must cancel all processed claims (bill types 8X1, 8X2, 8X3, 8X4) within the election. Once all claims are canceled, submit the notice of void/cancel (type of bill [TOB] 8XD) to remove the notice of election (TOB 8XA).

To revoke the election of hospice care, the individual must file a document with the hospice that includes a signed statement that the individual revokes the election for Medicare coverage of hospice care for the remainder of that election period and the effective date of that revocation.

• Termination Date. • Revocation Code: 0 = No revocation, open spell. 1 = Revoked by beneficiary. 2 = Revoked (occurrence code 42)

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232