To All Hospice Clients:
CR14277 Medicare Hospice Claim Admission Date Change
MM14227
details a new Medicare hospice edit, effective April 1, 2026, that
requires the patient's admission date on the claim to match the
patient's Benefit Start Date.
To accomodate this new requirement,
a new Admission Date option has been added to the Electronic 837
Baseline Option Set. After this baseline option set (dated 6/26/26 or
later) is merged into the Medicare Hospice option set(s), update 2300.33
to 'Patient Benefit Start Date' and save changes:
To All Home Health Clients:
'NOA Required' Billing Requirement
A
new 'NOA Required' option is available in the Insurance>Billing
Requirements section. An agency can mark the payer as 'NOA Required'
and when running the PPS Billing Pre-Audit leave the 'Final without
NOA' option always unchecked instead of maintaining separate Report
Groups for NOA-Required and NOA-Not-Required payers.
Agencies not
wishing to utilize this new option can continue to use the 'Final
without NOA' edit on the Billing Pre-Audit instead..
To select and use the 'NOA Required' option:
- Uncheck 'PPS Billing'
- Check 'NOA Required'
- Re-check 'PPS Billing'
- Save changes
- When running Billing Pre-Audit, confirm 'Final Without NOA' is unchecked:
Please refer
to Help
> Release Info for
a complete list of program changes included in this release and contact
Support with any questions or concerns.
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