Notice of Election workaround does not apply to claims. Just because you can leave the "OTH PHYS" field on hospice notices of election blank doesn't mean you can do the same for hospice claims. Hospices can't access the National Provider Identifier (NPI) field for the "OTH PHYS" line on hospice NOEs, so hospices have been instructed to leave that field blank as a temporary workaround (see Eli's Hospice Insider, Vol. 4, No. 6, p. 39). However, on hospice claims (TOB 8X1/ 8X2/8X3/8X4), providers should include the NPI in that field, HH MAC NHIC tells hospices. "The certifying physician information will be captured on the claim(s) that are submitted for the patient," NHIC tells providers in an e-mail message. A system fix for the problem is scheduled for December, HHH MAC Palmetto GBA notes on its website. When the fix takes effect, hospices must start including the physician's NPI in the "OTH PHYS" field on NOEs again, the contractor says. The problem: "Providers are receiving reason code 11801 but were not able to access the DDE field to make the necessary corrections. Such claims returned to provider (RTP'd) for correction and are in suspense status location SMPRZ" with HHH MAC NHIC, the Medicare contractor reports in an e-mail message to providers. The solution: The claims system problem was resolved and the edit was reactivated May 9, NHIC reports. "Claims are now receiving reason code 11801 correctly," it says. The affected claims will RTP and hospices should add the appropriate type ofadmission code and resubmit. Remember, the type of admission codes now required on claims are 1 (emergency), 2 (urgent), 3 (elective), 4 (newborn), 5 (trauma), and 9 (information not available). Providers should use "9" if they're not sure what applies, CMS said earlier this year in a message to providers. "A Medicaid home health face-to-face proposed rule is now awaiting clearance from the Office of Management and Budget and is expected to be published early this summer," reports the National Association for Home Care & Hospice. A number of states including Iowa, Ohio, Delaware, and Mainehave implemented F2F requirements for Medicaid home health services already, NAHC notes in its member newsletter. NAHC "urges home health agencies to watch for this proposed rule and submit their recommendations," it says. Comments based on agencies' experiences with the Medicare requirement could be very effective. "Nurse aids and other employees that log hundreds of miles weekly will now have a more reliable way to care for patients and their families," the station says. "Before this generous donation, employees were using older cars that were not fuel efficient or very reliable." "Hospice represented 43 percent of total net revenues in the first quarter of 2011, compared to 7 percent in the 2010 first quarter," Gentiva pointed out in an earnings release. OMNI has locations in Ohio, Florida, Pennsylvania, Indiana, and Illinois, according to its website. SunCrest operates in Tennessee, Alabama, Florida, Georgia, Kentucky, Mississippi, and Missouri. The new chain will offer hospice services in some markets.