CMS Modifies Calculation of 2022 Hospice Aggregate Cap Year Liabilities

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Editor’s Note:  Special thanks go to Ted Cuppett, CPA, Director of The Health Group in Morgantown, WV, for permission to reprint the following article. On July 20, 2023, the Centers for Medicare & Medicaid Services (CMS) instructed the Medicare Administrative Contractors (“MACs”) to modify the calculation of hospice CAP liabilities for the 2022 CAP Year.  […]

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Hospice Reminder: The Deadline for Self-reporting of Your Aggregate Cap is February 28

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Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2022 Cap year no later than February 28, 2023. Failure to file the self-determined cap report with your Medicare Administrative Contractor (MAC) timely may result in payment suspension. If you have a Cap-related liability, you are required to submit payment at the time you submit your […]

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Hospice Reminder: The Deadline for Self-reporting of Your Aggregate Cap is February 28

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Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2022 Cap year no later than February 28, 2023. Failure to file the self-determined cap report with your Medicare Administrative Contractor (MAC) timely may result in payment suspension. If you have a Cap-related liability, you are required to submit payment at the time you submit your […]

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FY2023 Hospice Medicare and Medicaid Base Rates at a Glance

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–Hospice Medicare FY2023 Pricer Now Available Beginning October 1, 2022, hospice base payment rates will increase by 3.8 percent, as published in the final FY2023 Hospice Payment Rule. As is customary, the Medicaid program waits until Medicare rates are finalized to issue guidance on the applicable corresponding hospice payment rates. The Centers for Medicare & […]

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Let’s Get the Preserving Home Health Act Across the Finish Line!

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Add your voice to ours! GO HERE to tell your elected representatives to support this legislation There is real momentum in the U.S. Congress for the Preserving Home Health Act of 2022, which is picking up supporters in both chambers.  In the Senate, we have added Raphael Warnock (D-GA) and Maggie Hassan (D-NH) to the […]

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Proof that Your Advocacy Works!

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Advocacy is some of the most important work we do at NAHC and because we know how vital it is, we have asked you to become advocates yourselves. Become advocates for your organizations, your employees, your patients, and for the cause of centering American health care in the place where it belongs, the home. If […]

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Fight for Home Health Care & Hospice in DC!

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Wednesday, September 14 REGISTER (required) Today is the last day to sign up (registration above) to join NAHC and your fellow home care and hospice professionals who will be on Capitol Hill on Wednesday, September 14th, to advocate to Congress for some of the biggest issues facing the industry right now. Home health providers are facing […]

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MedPAC calls for 20 Percent Cut to Hospice Aggregate Cap

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The Medicare Payment Advisory Commission (MedPAC) has recommended to Congress that Medicare base payment rates for hospice for Fiscal Year 2022 remain at current levels and to cut the hospice aggregate cap by 20 percent. In addition, MedPAC recommended that the aggregate cap be wage adjusted. MedPAC’s chapter on hospice services explores the latest data […]

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Survey Reforms & Other Significant Changes for Hospice

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The Consolidated Appropriations Act 2021 was passed at the end of December 2020, contains numerous provisions applicable to all provider types and some that are hospice-specific. (See this NAHC Report for earlier news & analysis on the subject.) Below is a detailed summary of the hospice-specific provisions in date order, as appropriate, and any additional information […]

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MedPAC Recommends Hospice Payment Freeze, Cap Cut for FY2022

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Recommendations will advance to Congress As NAHC Report anticipated, the Medicare Payment Advisory Commission (MedPAC), an advisory body to Congress, met this week to finalize payment and policy recommendations that will be incorporated in its annual March Report to Congress.  Among the items MedPAC acted on were payment recommendations for the hospice sector in fiscal year (FY) […]

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