Summary
Effective Jan. 1, 2024, Presbyterian is no longer participating in the Hospice Value-Based Insurance Design (VBID) program. Three Presbyterian Medicare Advantage plans participated in Hospice VBID: Presbyterian Senior Care Plan 1 (HMO), Presbyterian Senior Care Plan 2 with Rx (HMO) and Presbyterian Senior Care Plan 3 with Rx (HMO). Presbyterian will continue to process claims, including hospice claims, for patients who elected Hospice VBID on or before Dec. 31, 2023 and are still on hospice.
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What to do
Action · 6 steps
01Already effective Jan.
021, 2024: For patients who elected Hospice VBID on or after Jan.
031, 2024, providers should submit hospice claims to Original Medicare as they would for patients on other Medicare Advantage plans today.
04For patients who elected Hospice VBID on or before Dec.
0531, 2023 and are still on hospice, Presbyterian will continue to process their claims, including hospice claims.
06Questions go to the Provider Network Operations relationship executive, whose contact information is at www.phs.org/ContactGuide.
Codes mentioned
99490994399949199437
Original notice
2024 March Network Connection
onbaseext.phs.org · Always check the source before changing claims.