Medicare Learning Network (MLN) Updates VBID Hospice Benefit Component Billing Information

Medicare Learning Network (MLN) Updates VBID Hospice Benefit Component Billing Information

MLN released an article for hospices and others billing Medicare Administrative Contractors (MACs) for services they provide to Medicare hospice patients enrolled in Medicare Advantage (MA) plans participating in the voluntary Value-Based Insurance Design (VBID) Model’s Hospice Benefit Component. The article links to several updated manuals which clarify billing for the VBID hospice model in preparation for CY 2023. As a reminder, Medicare will deny payment for claims with dates of service during a hospice election (with a hospice election start date on or after January 1, 2021 through December 31, 2024) for services provided to a patient enrolled in an participating VBID Model’s Hospice Benefit Component MA plan. Regardless of plan participation dates, hospices must still submit claims for these services to Medicare through their MAC. If a beneficiary is not enrolled in a participating VBID Hospice MA plan, Medicare fee-for-service will become financially responsible for most services, with the MA plan supporting any supplemental benefits.

 

Questions?

Contact:

Laura Hofmann, MSN, RN – Director of Clinical and Nursing Facility Regulatory Services
c: 425-231-4804

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May 4, 2022