Skip to main content
U.S. flag

An official website of the United States government

Return to Search

Implement Edits on Hospice Claims

The purpose of this Change Request (CR) is to implement edits on Hospice Claims. Any hospice claim with an attending or rendering National Provider Identifier (NPI), they have to be enrolled in Medicare as part of a new rule that is coming as of May 1st, 2024. The hospice physician and attending physician need to be enrolled/opted-out at the time they make the certification or recertification of hospice care for a patient. The Provider Enrollment Chain and Ownership System (PECOS) will create a new extract file and send it to the Fiscal Intermediary Shared System (FISS). PECOS will send a list of NPIs that are eligible for certifying that beneficiary for Hospice care.

Download the Guidance Document


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

Issue Date: October 26, 2023

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.