Hospice Notice of Termination or Revocation

20.2.4 - Hospice Notice of Termination or Revocation (Rev. 209, Issued: 05-08-15, Effective: 10-01-14, Implementation: 05-04-15) Upon discharge or revocation of hospice care, the beneficiary immediately resumes the Medicare coverage that had previously been waived by the hospice election. As such, hospices should record the beneficiary’s discharge or revocation in the claims processing system promptly. If a hospice beneficiary is discharged alive or if a hospice beneficiary revokes the election of hospice care, the hospice shall submit a timely-filed Notice of Termination/Revocation (NOTR) unless the hospice has already filed a final claim. A timely-filed NOTR is a NOTR that is submitted to and accepted by the Medicare contractor within 5 calendar days after the effective date of discharge or revocation. Hospices continue to have 12 months from the date of service in which to file their claims. See Pub. 100-04, Medicare Claims Processing Manual, Chapter 11, “Processing Hospice Claims” for requirements for NOTR submission.