CR8877/NOE-NOTR, Hospice Diagnosis Coding

PLEASE NOTE:  We caution providers that some processes related to the NOE(and possibly the NOTR) may be MAC-SPECIFIC – this means that it is very important that you seek out instructions from your assigned MAC to be certain that you are following the proper procedure.

Q&A: CR 8877 QUESTIONS AND ANSWERS

Medicare Claims Processing Manual, Chapter 11

CMS CR 8877/Attachment A

Medicare Code Editor, v. 31-0, Oct. 2013

CGS: Change Request 8877: Overview of Changes

CGS: Change Request 8877: Frequently Asked Questions

PALMETTO GBA: Canceling a hospice notice of election or benefit period

PALMETTO GBA: NOTR Job Aid

“Hospice Information for Medicare Part D” Form (NEW)

NGS: Canceling a hospice notice of election or benefit period

Data Reporting on Hospice Claims

Q&A: Additional Data Reporting Requirements for Hospice Claims

Change Request 8358 – Additional Data Reporting Requirements for Hospice Claims (July 26, 2013)

Data on Claims – proposed and as required under CR8358

Hospice Part/D

Part D PA Process Explanation

Hospice and Part D – Questions and Answers

Part D PA Process Tips

“Hospice Information for Medicare Part D” Form (NEW)

Part D PA Process Sample Admission Notice

“Part D Payment for Drugs for Beneficiaries Enrolled in Medicare Hospice” Guidance July 2014 (NEW)

Part D Payment for Drugs for Beneficiaries Enrolled in Hospice—2015 Guidance

CMS Final Guidance March 2014

CMS Guidance Dec 2013

Hospice Payment Reform

FY2014 Hospice Wage Index and Payment Rate Update; Hospice Quality Reporting Requirements; and Update on Payment Reform

Hospice Wage Index FY2014 (With % Change over FY2013 Value)

Hospice Wage Index FY2013 Urban and Rural Areas

Hospice Quality Reporting

Note: These measures will be considered for possible future hospice quality reporting requirements.

HQRP Reference Table: Data Details — NQF Measures Proposed by CMS to Comprise Initial Hospice Information Set (HIS) (5/13/2013)

NQF #0208 Family Evaluation of Hospice Care

NQF #1617 Patients Treated with an Opioid who are Given a Bowel Regimen

NQF #1634 Hospice and Palliative Care — Pain Screening

NQF #1637 Hospice and Palliative Care — Pain Assessment

NQF #1638 Hospice and Palliative Care — Dyspnea Treatment

NQF #1639 Hospice and Palliative Care — Dyspnea Screening

NQF #1641 Hospice and Palliative Care — Treatment Preferences

NQF #1647 Percentage of hospice patients with documentation in the clinical record of a discussion of spiritual/religious concerns or documentation that the patient/caregiver did not want to discuss.

Patient Notices

CGS Advance Beneficiary Notice Decision Tree

Hospice Face-to-Face Encounter and Related Requirements

CR 7337/Transmittal 141: New Hospice Certification Requirements and Revised Conditions of Participation (CoPs)

Model Hospice Patient Information on Face-toFace Encounters

Model Hospice Patient Letter

Model Face-to-Face and Narrative for Recerticication of Terminal Illiness for Hospice

Model Physician Face-to-Face and Narrative for Recertification of Terminal Illness for Hospice

Hospice Face-to-Face Q & A

Reporting Reasonable Suspicion of a Crime

Reporting Reasonable Suspicion of a Crime in a Long-Term Care Facility (LTC): Section 1150B of the Social Security Act

Suspicion of a Crime Reporting: Sample Individual Notification Letter

Suspicion of a Crime Reporting: Sample Posting Form

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