100-04 Medicare Claims Processing Manual: Chapter 11 Crosswalk

Medicare Claims Processing Manual
Chapter 11 - Processing Hospice Claims
Crosswalk
New
Chap
New
Sect
Int.
Pub 13-3
Carrier
Pub 14-3
HO
Pub 10
HSP
Pub 21
Other 	Description
11 	10 	A3-3140,
A3-3143,
B3-4175 	AB-02-009,
AB-03-008
Overview
11 	20 	HSP-201 	Hospice Notice of Election
11 	20.1 	HSP-201 	Procedures for Hospice Election
11 	20.1.1 	HSP-302 	Notice of Election (NOE) - Form
CMS-1450
11 	20.1.2 	HO-460 	HSP-302.1 	Completing the Uniform (Institutional
Provider) Bill (Form CMS-1450) for
Hospice Election
11 	20.1.3 	HSP-302.2 	FI Reply to Notice of Election
11 	30 	Billing and Payment for General Hospice
Services
11 	30.1 	A3-3143.2 	HSP-401,
HSP-402
HSP-402.5
A-03-016 	Levels of Care

New
Chap
New
Sect
Int.
Pub 13-3
Carrier
Pub 14-3
HO
Pub 10
HSP
Pub 21
Other 	Description
11 	30.2 	HSP-403,
HSP-404
9/5/01 ARA
update memo,
A-02-059
Payment Rates
11 	30.3 	A3-3648 	HSP-302,
HSP-303- HSP-
303.1
Data Required on Claim to Intermediary
11 	40 	A3-3141.1 	B3-4175,
B3-2020G,
B3-15513
HSP-406 	Billing and Payment for Hospice Services
Provided by a Physician
11 	40.1 	B3-4175,
B3-2020G,
B3-15513
HSP-406 	Types of Physician Services
11 	40.1.1 	HSP-406 	Administrative Activities
11 	40.1.2 	HSP-406 	Patient Care Services
11 	40.1.3 	B3-4175,
B3-4175.1,
B3-4175.4
HSP-406 	Attending Physician Services
11 	40.1.3.1 	B3-2020G,
B3-15513
Care Plan Oversight
11 	40.2 	B3-4175.2,
B3-4175.4
Carrier Processing of Claims for Hospice
Beneficiaries
11 	40.2.1 	A3-3141.1 	Claims After the End of Hospice Election
Period

New
Chap
New
Sect
Int.
Pub 13-3
Carrier
Pub 14-3
HO
Pub 10
HSP
Pub 21
Other 	Description
11 	40.2.2 	B3-4175.3 	Claims From Medicare + Choice
Organizations
11 	50 	B3-4175.2 	HSP-303.2 	AB-02-015 	Billing and Payment for Services Unrelated
to Terminal Illness
11 	60 	A-02-102 	Billing and Payment for Services Provided
by Hospices Under Contractual
Arrangements With Other Institutions
11 	60.1 	A-02-102 	Instructions for the Contractual
Arrangement
11 	60.2 	A-02-102 	Clarification of the Payment for Contracted
Services
11 	70 	A3-3142 	HSP-410 	Deductible and Coinsurance for Hospice
Benefit
11 	70.1 	A3-3142 	HSP-410 	General
11 	70.2 	A3-3142 	HSP-410 	Coinsurance on Outpatient Drugs and
Biologicals
11 	70.3 	A3-3142 	HSP-410 	Coinsurance on Inpatient Respite Care
11 	80 	Caps and Limitations on Hospice Payments
11 	80.1 	HSP-405 	Limitation on Payments for Inpatient Care
11 	80.2 	HSP-407-407.1 	Cap on Overall Hospice Reimbursement
11 	80.2.1 	HSP-407-407.1 	Services Counted

New
Chap
New
Sect
Int.
Pub 13-3
Carrier
Pub 14-3
HO
Pub 10
HSP
Pub 21
Other 	Description
11 	80.2.2 	HSP-407-407.1 	Counting Beneficiaries for Calculation
11 	80.2.3 	HSP-407-407.1 	Adjustments to Cap Amount
11 	90 	HSP-303.5 	Frequency of Billing
11 	100 	HSP-304 	Medical Review of Hospice Claims
11 	110 	B3-7012 	TM HSP R64,
TM A3-R1846
Medicare Summary Notice (MSN)
Messages/ASC X12N Remittance Advice
Adjustment Reason and Remark Codes
11 	120 	B3-4175.1,
B3-4175.6
Contractor Responsibilities for Publishing
Hospice Information