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For all patients that were on care prior to your certification date you'll want to immediately proceed to discharge and then readmit your patients as if they were never on your care, indicating the new admission date as the official date of certification. (This does not include expired patients)
All patients prior to your agency becoming certified were on care "pro-bono". In order to successfully bill Medicare & any other insurances for hospice All new admission paperwork needs to be completed to reflect this new date of certification. This includes all initial assessments, CTIs, Informed Consent, Benefit Election to reflect the new date of certification. DO NOT wait until Medicare enrollments are processed to do this.
The Cert period information on the patient's intake screen should be left BLANK, until you are connected to billing and have the ability to run the patient's eligibility in the system in order to accurately reflect the appropriate date to be entered into the Cert Begin field. This will allow you to identify which benefit period the patient is currently in.
If you're not able to add payor sources you'll need to complete the ebilling set up form to have Medicare added, and the Payer Request form to add other insurances.
Help Guide:
How-to Video:
Additional Resources:
Billing Forms: