On June 7, 2018, CMS announced improvements to the hospice NOE process for hospice elections received on or after July 2, 2018.
A new hospice election period format will be added to the Common Working File (CWF) system to carry election-related information. The existing hospice benefit period screens will continue to look the same, but election-related fields on those screens (revocation indicators, NOE receipt dates) will no longer be used.
MACs will convert all existing hospice benefit periods into the new election period and benefit period format if the revocation date on the benefit period is blank (current elections) or is four years old or less. Older benefit periods will remain in Medicare systems unchanged. All new hospice elections received on or after July 2, 2018 will create periods in the new formats.
CMS says that this redesign separates hospice election and revocation date information from benefit period information, so the two types of information can be changed independently. CMS is making these change to the NOE process to:
- Reduce NOE timely filing exception requests from providers, by ensuring benefit periods can be canceled without removing the NOE receipt date.
- Allow NOTRs to be submitted at any time, rather than only when a benefit period covering the revocation date has been created by claims.
- Reduce workload for providers when reprocessing periods by automatically removing benefit periods when all claims in the period are canceled.
- Enable easier implementation of future policy changes by ensuring data in Medicare systems reflect hospice coverage requirements more clearly.
HEALTHCAREfirst customers can rest assured that our team is currently reviewing the changes to the NOE process and will update NOE Link as needed.