Please Note: There is no Medicare information on our corporate website. Please select a specific contract in the 'Search Within' box for Medicare related information.
© 2020 Palmetto GBA, LLC
We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
Printed Date: 9/22/2015
A hospice patient has accessed their Medicaid benefits on admission to hospice. The patient was retroactively enrolled in Medicare and does not notify the hospice of their Medicare entitlement. The hospice did not have the beneficiary initially sign the election statement until the agency discovered that the beneficiary is entitled to Medicare.
The Medicare hospice benefit cannot begin until the beneficiary signs the election statement. In cases where a beneficiary’s care begins prior to Medicare entitlement, a beneficiary must sign a Medicare Hospice election statement designating the effective date for Medicare hospice care to begin. The election statement cannot be back dated. Therefore, any care provided to a beneficiary prior to the date the actual election statement is signed is not billable to Medicare.
As a reminder, providers are responsible for ensuring that they check a patient’s Medicare eligibility upon admission and periodically throughout the time in which they are providing care.
We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.
It didn't answer my question
This article was helpful
We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.
We're sorry this article didn't help you today. We'll use your feedback to review this article to try to revise or expand it. Contact us with more feedback or a question on this topic.
Last Updated: 10/09/2019