Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

Can Hospice be revoked verbally and an E/M billed the same day?

Carmen Posted Fri 16th of March, 2012 14:05:41 PM

During an office visit to our Oncologist, the patient verbally instructed the physician he wished to revoke hospice care.

We billed 99205, 36415 and 85025 for the visit to Medicare and it's subject to recoupment.

The physician documented in his office note that the patient wishes to revoke hospice that same day. Can this be appealed with the inclusion of the medical record for the date of service? He is not the attending physician and not an employee or volunteer of the Hospice agency

SuperCoder Answered Fri 16th of March, 2012 16:54:17 PM

Note that a verbal revocation of benefits is NOT acceptable. The individual forfeits hospice coverage for any remaining days in that election period. An individual may not designate an effective date earlier than the date that the revocation is made.An individual or representative may revoke the election of hospice care at any time in writing. To revoke the election of hospice care, the individual must file a document with the hospice that includes a signed statement that the individual revokes the election for Medicare coverage of hospice care for the remainder of that election period and the effective date of that revocation.

Related Topics