Part 2 - Hospice Care Program (HOS)



Appeal Form Completion (appeal form) (Revision Date May 29, 2020) | (792KB)
CIF Completion (cif co) (Revision Date May 29, 2020) | (813KB)
CIF Submission and Timeliness Instructions (cif sub) (Revision Date May 29, 2020) | (138KB)
Forms: Legibility and Completion Standards (forms leg) (Revision Date May 29, 2020) | (99KB)
Forms Reorder Request: Guidelines (forms reo) (Revision Date May 29, 2020) | (86KB)
HCPCS Introduction (hcpcs) (Revision Date May 29, 2020) | (79KB)
Hospice Care (hospic) (Revision Date May 29, 2020) | (114KB)
Hospice Care Billing Codes (hospic bil cd) (Revision Date May 29, 2020) | (133KB)
Hospice Care Billing Examples (hospic bil ex) (Revision Date May 29, 2020) | (652KB)
Hospice Care: General Billing Instructions (hospic ge) (Revision Date May 29, 2020) | (126KB)
Medicare Non-Covered Services: HCPCS Codes (medi non hcp) (Revision Date May 29, 2020) | (87KB)
Other Health Coverage (OHC) (oth hlth) (Revision Date May 29, 2020) | (137KB)
Physician-Administered Drugs: NDC (physician ndc) (Revision Date Jul 16, 2020) | (136KB)
Remittance Advice Details (RAD) (remit adv) (Revision Date May 29, 2020) | (141KB)
Sign Language Interpretation (sign) (Revision Date May 29, 2020) | (200KB)
TAR Completion (tar comp) (Revision Date May 29, 2020) | (288KB)
TAR Deferral/Denial Policy (Frank v. Kizer) (tar defer) (Revision Date May 29, 2020) | (479KB)
TAR Field Office Addresses (tar field) (Revision Date May 29, 2020) | (260KB)
TAR Submission: Transmittal Form (tar submis) (Revision Date May 29, 2020) | (258KB)
TAR: Submitting Appeals (tar submit) (Revision Date May 29, 2020) | (86KB)
UB-04 Completion: Outpatient Services (ub comp op) (Revision Date May 29, 2020) | (330KB)
UB-04 Submission and Timeliness Instructions (ub sub) (Revision Date May 29, 2020) | (160KB)
UB-04 Tips for Billing: Outpatient Services (ub tips op) (Revision Date May 29, 2020) | (130KB)


Note:
If you cannot view the MS Word or PDF (Portable Document Format) documents correctly, please visit the Web Tool Box to link to a download site for the appropriate reader.