CMS Issues Change Request Regarding Demand Billing of Hospice GIP

The Centers for Medicare & Medicaid Services (CMS) issued Change Request (CR) 8371 regarding Demand Billing of Hospice General Inpatient (GIP) Level of Care effective January 1, 2014, with an implementation date of January 6, 2014.  CR 8371 instructs hospices on preparing demand bills when GIP is denied and the routine home care rate is applicable. Billing instructions for demand bills associated with Advanced Beneficiary Notice of Non-coverage (ABN) issuance are contained in Chapter 1 (General Billing Requirements) of the Claims Processing Manual in section 60.4.1 Outpatient Billing with an ABN (Occurrence Code 32).

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