Hospice/Home Health
The Home Health Care section provides information for each episode start and end date and the corresponding billing activity dates.
The Hospice section provides eligibility information when the hospice benefit is effective and when it terminates, in addition to the total hospice occurrence count for the listed beneficiary.
If the patient has any gap in their episode of care or changes providers at any time, or if their hospice provider has sent the final claim revoking hospice care, you will see more than just a single effective date being returned. Once the final claim has been submitted, the hospice termination (or revocation) date is returned, along with the revocation code. If the patient is still in hospice care, but has changed providers, the start and termination date with each provider will be returned. Therefore, if no termination date is returned, it is to be assumed that the patient is still under hospice care, as no claim has yet been processed that revokes that period of care.
NOTE: The "Hospice/Home Health" sub-tab displays hospice and/or home health data and will not be accessible when there have been no claims received by CMS indicating hospice or home health coverage is active and is in effect per the date(s) requested. To make sure you see all the information, enter a date range in the inquiry screen.
The tables below describe the "Home Health/Hospice" sub-tab fields:
Home Health Care
Field Name | Description |
---|---|
Patient Status |
Notes whether the patient is actively receiving services |
NOA Indicator |
Starting January 1, 2022, Medicare requires Home Health Agencies (HHAs) to submit a one-time Notice of Admission (NOA) instead of Requests for Anticipated Payment (RAPs). myCGS displays:
|
HHEH Start Date |
The date the 60-day home health episode period started |
HHEH End Date |
The date that the home health episode terminated |
HHEH DOEBA Date |
The date of earliest billing activity for spell of illness |
HHEH DOLBA Date |
The date of latest billing activity for spell of illness |
Provider Number |
The NPI of the home health facility |
Provider Number Type |
A display of "NPI" depending on the source of the provider number |
Contractor Number |
A display of the Medicare contractor number |
Contractor Name |
The name of the Medicare contractor |
HH Certification Start Date |
The date the beneficiary was certified to receive home health care services |
HH Recertification Start Date |
The date the beneficiary was recertified to continue receiving home health care services |
Hospice
Field Name | Description |
---|---|
Effective Date |
The start date of a beneficiary's elected period of hospice coverage |
Term Date |
The termination date of a beneficiary's elected period of hospice coverage. No date in this field means the beneficiary's elected period of hospice coverage has not terminated. |
Start Date (DOEBA) |
Date of Earliest Billing Activity |
End Date (DOLBA) |
Date of Latest Billing Activity |
Days Used |
The number of Hospice days used |
Provider Number |
The NPI of the hospice facility |
Type |
A display of "NPI" as the type of provider number |
Notices of Election (NOE) |
The Notice of Election (NOE) is to be submitted within 5 days after a hospice admission in order to be considered timely.
|
Revocation Code |
The code indicating the revocation status for the spell listed Medicare Beneficiary in Hospice Care Medicare Beneficiary with Hospice Care Revoked |
Election Revocation Date |
The date the spell revoked |
myCGS will display up to 50 billed Hospice episodes that occurred in the last four years.