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Gap Billing Between Hospice Transfers

This change request is creating system edits to prevent gap billing between hospice transfers. Currently, there is no mechanism in place to prevent gap billing. Since hospice transfers must occur on the same day, there cannot be a break in hospice care or a gap in billing.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: February 25, 2022

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.