Can An Agency Remove An Incorrect Hospice Revocation Date From A D/C Claim?

If an incorrect revocation date is submitted on the discharge claim, the provider may adjust the claim to correct the revocation status. If the discharge claim is submitted with a 01 patient status code, 42 occurrence code and date, then the patient's hospice services are revoked. To correct this, the provider should submit an adjustment bill with a corrected patient status code and delete the 42 occurrence code on the claim. Providers may also adjust the discharge bill to correct the 42 occurrence code date.

Please note: Providers should examine the Common Working File (CWF) for any irregularities. If the hospice periods are accurately recorded, providers may adjust the claim. If the hospice periods have inaccurate information (i.e., days used or earliest or latest billing dates) providers should call the provider contact center for assistance.

Last Reviewed: 10/21/2022

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