Next CMS Open Door Forum is Thursday

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The next Home Health, Hospice & DME Open Door Forum is scheduled for Thursday, February 22, 2024, PM at 3:30 PM- 4:30 PM Eastern Time (ET). Please log on at least 15 minutes prior to the forum start time. **This Agenda is Subject to Change** Chair – Brian Slater, Center for Medicare, CMS Co-Chair- Kelly […]

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Hospices: Report All Managing Employees

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The Center for Medicare & Medicaid Services (CMS) recently clarified that hospice medical directors and administrators are always considered managing employees for Medicare provider enrollment purposes. You must report all current managing employees. If you haven’t reported a medical director or administrator, report them now. See the Medicare Program Integrity Manual: CY 2024 Home Health Prospective Payment System […]

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Hospice Item Set Manual Update

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The Hospice Item Set (HIS) Manual has been updated to remove COVID-19 public health emergency references, revise the Annual Payment Update (APU) penalty to reflect the current four percent (4%), revise the terminology related to the Consensus Based Entity (CBE) and make some date changes.  A Change Table outlining all the revisions is available here. […]

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Hospice Comprehensive Assessment Measure Fact Sheet

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The Centers for Medicare & Medicaid Services (CMS) posted a Fact Sheet for the Hospice Comprehensive Assessment Quality measure. The document provides clarification on the measure and guidance on how to calculate the Hospice Comprehensive Assessment Measure for your hospice as well as FAQs for the measure.  The Comprehensive Assessment quality measure captures whether seven key […]

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Hospice Audit Survey Results

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Last fall, NAHC conducted a Hospice Audit Survey to collect feedback in response to concerns about the auditing and adjudication processes of Medicare hospice benefit claims. We did this in conjunction with other national associations – NHPCO, Leading Age, and the National Partnership for Healthcare and Hospice Innovation (NPHI). You may see the survey results by […]

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Clarifications on MFT/MHC in Hospice

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The Consolidated Appropriations Act of 2023 (CAA 2023) established a new Medicare benefit category for marriage and family therapist (MFT) services and mental health counselor (MHC) services furnished by and directly billed by MFTs and MHCs, respectively. Through the CAA 2023 these services were added to covered hospice care services under section 1861(dd)(2)(B)(i)(III) of the Act and […]

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Summary of Hospice Updates in Recent CMS Open Door Forum

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The Centers for Medicare & Medicaid Services (CMS) held its most recent Home Health, Hospice and DME Open Door Forum on Wednesday, January 10, 2024. Following are the hospice items that were discussed. The next Care Compare refresh will be in February.  The Provider Preview reports for this refresh were made available to hospices in […]

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MedPAC Recommends Home Health Payment Rate Cut, Hospice Update Freeze

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The Medicare Payment Advisory Commission (MedPAC) unanimously voted Thursday, January 11, 2024, to recommend cutting the home health base payment rate by seven percent in CY2025 and freezing the hospice update to 2024 Medicare base payment rates for FY2025. MedPAC, which advises Congress on Medicare payment issues, previously released draft recommendations for these reductions in December 2023. If accepted […]

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CAHPS Hospice Survey Updates

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The CAHPS Hospice Survey Technical Corrections and Clarifications to the CAHPS Hospice Survey Quality Assurance Guidelines V10.0 (QAG V10.0) document has been posted. Specific content items that were corrected, added and/or clarified include: The CAHPS Hospice Survey mail and telephone materials from the Quality Assurance Guidelines V10.0 (QAG V10.0) in all approved translations have also been posted. To view […]

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New Recovery Audit Contractor Issue for Hospice

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The Recovery Audit Contractor (RAC), Performant, added a hospice Issue this month to the list of Centers for Medicare & Medicaid Services (CMS) approved issues. The new issue is Issue 0221 – Hospice Care: Extended Length of Stay: Medical Necessity and Documentation Requirements. The review will determine if hospice care was reasonable and necessary. Claims that […]

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