Some hospice agencies are falling behind schedule when it comes to reporting live discharges and revocations, according to a notice released by Palmetto GBA on Feb. 20, 2026.  
 
Hospices are required to file a Notice of Election Termination/Revocation (NOTR) with their Medicare Administrative Contractor (MAC) within five calendar days of a Medicare beneficiary’s hospice benefit election ending. Providers are expected to use the 8xB type of bill, unless a final claim was already filed. 
 
Agencies that fail to submit the NOTR in a timely manner could see reduced reimbursement. Furthermore, if the patient decides to reelect hospice down the line, providers may be penalized for a late Notice of Election.