The following functionality is coming soon to Axxess Hospice. Axxess will alert you when this feature is available. Check your messages in Axxess Hospice for important alerts from Axxess.
To help organizations comply with the Fiscal Year (FY) 2027 Hospice Final Rule, Axxess Hospice now automatically identifies when a Non-Covered Items and Services Addendum (Election Statement Addendum) is required and displays reminders to support adherence to CMS requirements. This enhancement streamlines operations and ensures compliance.
An initial addendum is required when a patient elects the hospice benefit and is admitted to hospice. A reminder banner is generated with a five-day deadline date reminder to furnish (provide) the addendum. Once the initial addendum has been provided, qualifying changes to diagnoses, diagnosis relationships, medications, DME, supplies or services automatically trigger a subsequent addendum reminder with a three-day deadline.


Please note: The addendum is a point-in-time snapshot of the patient record and includes only active information at the time it is generated. Depending on the patient’s record, the addendum may include related diagnoses, unrelated diagnoses, non-covered medications, non-covered DME, non-covered supplies and other non-covered services. Additional services, such as physical therapy (PT) or occupational therapy (OT), may be added manually as needed. Discontinued diagnoses, medications, DME, supplies and services are not included.
To generate a Non-Covered Items and Services Addendum, users can select the Generate Addendum button displayed on the banner or they can navigate to the desired patient’s chart, select Non-Covered Items from the Quick Links menu and click Generate Addendum.
Patients tab ➜ Patient Charts ➜ Quick Links ➜ Non-Covered Items ➜ Generate Addendum
Once Generate Addendum has been selected, users will enter and review the required information and select Generate Addendum or Cancel. For initial and subsequent addenda, the Applicable Event Date and Applicable Due Date populate automatically. The right to request an addendum remains unchanged. Addenda generated at the request of a patient, representative or regulatory agency continue to follow the existing three-day furnishing requirement.
When complete, the addendum information will flow to the Non-Covered Items Addendum table. The table includes: Addendum Reason, Applicable Event Date, Applicable Due Date, Status, Furnished Date, Signature Status, Signature Date and Actions.
