HOSPICE PROVIDERS: Submit HIS Files like a Pro

The requirement to submit a Hospice Item Set (HIS) Admission record and a Hospice Item Set (HIS) Discharge for every patient can be inconvenient. Okay, that’s an understatement. HIS compliance requirements are an administrative headache, but they don’t have to be.

When you sign up for our File Transfer Service, you get a complete snapshot of the activity on your 835/837 file transmissions. You can quickly see the number of files that have been accepted, rejected, and processed. At a glance, you can prioritize and troubleshoot your workload. What makes this tool especially valuable to you, however, is the option to add HIS submission functionality.

HOSPICE PROVIDERS: Notice of Election Submission is inconvenient, but it doesn't have to be.

Just because you’re used to something doesn’t mean you have to like it.  Now that Notice of Election (NOE) has to be submitted within five calendar days of admission date, you’ve probably had to make some changes to how you bill. There’s no getting around it. If your NOE is submitted and accepted by CGS outside of the five-day window, it’s no longer considered timely.

In case you were unaware of what this means, if an NOE isn’t timely-filed, Medicare will not pay for the days of hospice care from the hospice admission date to the date the NOE is accepted by the Medicare contractor. These days will be your liability, and you won’t be able to bill the beneficiary for them.