CMS Pub. 100-04, ch. 11, § 90

Hospices must bill for their Medicare beneficiaries on a monthly basis. Monthly billing

must conform to a calendar month (i.e. limit services to those in the same calendar month

if services began mid-month) rather than a 30 day period which could span two calendar

months. Hospices submitting more than one claim in a calendar month for the same

beneficiary will have claims returned beginning on dates of service July 1, 2013. The

only exception to this requirement is in the case of the beneficiary being discharged or

revoking the benefit and then later re-electing the benefit during the same month. The

monthly billing requirement applies even if the patient is discharged, revokes, or expires

on the first of the next calendar month. For example, if a patient is admitted to hospice

on August 8th and revokes the benefit on September 1st, the hospice must submit two

claims. A claim is submitted for dates of service August 8 to August 31and a separate

claim is submitted with dates of service September 1 to September 1. Hospice claims

should not span multiple months. Any hospice claim spanning multiple months will be

returned to the provider for correction.

In cases where one hospice transfers a beneficiary to another hospice that admits the

beneficiary on the same day, each hospice is permitted to bill and each will be reimbursed

at the appropriate level of care for its respective day of discharge or admission.