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Billing FAQs

How do I view/verify a patient’s Medicare eligibility?

 

 

 

 

How do I add a new insurance?

 

How do I view a list of pending claims or outstanding Medicare claims?

 

Note: Claims History shows you claims that have been submitted and are awaiting payments.

 

How do I verify/submit a Notice of Election (NOE)?

 

 

 

 

How do I verify/submit a Notice of Termination/Revocation (NOTR)?

 

How do I verify/submit a sequential claim?

 

What is an HCPCS code?

HCPCS stands for Healthcare Common Procedure Coding System. HCPCS codes are used to identify the discipline being billed.

 

How do I identify the right HCPCS code for my patient services?

HCPCS codes are determined by your payment intermediary or insurance provider. For Medicare claims and visits, Axxess Hospice automatically assigns the proper G-code associated with the task/document.

 

For more information on HCPCS codes, review the Medicare Claims Processing Manual Chapter 11: Processing Hospice Claims.

For insurance patients, consult your agency’s contract with its insurance provider or contact the insurance provider directly.

 

How are HCPCS codes assigned in Axxess Hospice?

For Medicare claims and visits, Axxess Hospice automatically assigns the proper G-code associated with the task/document.

 

For insurance patients, when setting up your Insurance/Payer Fee Schedule, add the Revenue Code, HCPCS Codes and Modifiers to populate on your claims.

 

Do I have to look up G-codes and assign them to my scheduled visits?

No. It is not necessary to look up G-codes and assign them to your scheduled visits. Axxess Hospice automatically assigns the proper G-code based on the type of visit scheduled (ex: SN Visit – G0299).

 

How do I view details on claims I have submitted?

 

Does the transmission of EDI transactions rely on a clearinghouse or can transactions be sent directly to payers?

EDI electronic submissions are submitted through a clearinghouse. Axxess Hospice allows you to submit claims directly to any clearinghouse that accepts electronic claims. If the insurance company only accepts paper claims, a UB-04 can be printed and mailed to the insurance payer.

 

How do I update billing rates?

 

How do I download a Notice of Election (NOE), Notice of Termination/Revocation (NOTR), or claim?

 

Where can I view/download a copy of the Certification of Terminal Illness (CTI)?

For uploaded CTI:

 

 

 

 

For CTI completed in the Patient Chart:

 

 

Where can I find a copy of the signed Election Form?

From the Notice of Election (NOE) screen:

 

 

 

 

From the Patient Chart:

 

 

 

 

Where can I find a copy of the RN Initial Assessment?

From the Notice of Election (NOE) screen:

 

 

From the Patient Chart:

 

 

Where can I find a copy of Revocation Statement?

From the Notice of Termination/Revocation (NOTR) page:

 

 

From the Patient Chart:

 

 

 

 

How do I print a UB-04 claim form?

 

What is the difference between a hospice transfer and a hospice revocation?

A hospice transfer occurs when a patient transfers from one hospice to another. A hospice revocation occurs when a beneficiary chooses to end their hospice care.

 

What is the difference between a hospice discharge and a hospice revocation?

A hospice discharge occurs when:

 

 

A hospice revocation occurs when a beneficiary chooses to end their hospice care.

 

How do I delete a Notice of Election (NOE)?

 

How do I delete a Notice of Termination/Revocation (NOTR)?

 

How do I delete a claim?

 

How do I resubmit a Notice of Election (NOE)?

 

 

 

 

How do I resubmit a Notice of Termination/Revocation (NOTR)?

 

 

 

 

For information on when to resubmit an NOTR and other details related to correcting errors, consult the Medicare Claims Processing Manual Chapter 11: Processing Hospice Claims.

 

How do I resubmit a claim?

If your original claim is rejected, you can submit a new claim for the claim range.

 

To submit a new claim for the claim range:

 

 

 

 

Most instances require you to correct an issue and resubmit the original claim.

 

To correct and resubmit a claim: