Medicare Claims Processing Manual (Pub. 100-04), Ch. 11 § 110

Payment Procedures for Terminated Hospices

Last amended: 2025Year: 2025Length: 104 wordsOfficial source
110 Payment Procedures for Terminated Hospices (Rev. 13190; Issued: 04-24-25; Effective: 10-01-25; Implementation:10-06-25) Medicare regulations allow that payment may be made for hospice services for up to thirty days after a hospice terminates their Medicare provider agreement. This payment may be made if the hospice services are furnished under a plan of care established before the effective date of the termination. Medicare continues to make payments for claims which extend beyond a provider’s termination date if the hospice services are provided under a plan of care established prior to that date and if the hospice period of care ends within the 30 day period.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 11 § 110: Payment Procedures for Terminated Hospices | Justis AI