RHC
Hospice General Inpatient Care Focus of New OIG Work Plan Item
The Health and Human Services (HHS) Office of the Inspector General (OIG) updated its Work Plan with a new hospice item, Audit of Selected, High-Risk Medicare General Inpatient Services. The Work Plan sets forth various projects including OIG audits and evaluations that are underway or planned to be addressed during the fiscal year and beyond […]
Read MoreCMS Sets Hospice Payment Update at 3.8 Percent FY2023
Finalizes Mitigation Policy for Significant Wage Index Losses Responds to Comments on the Hospice Quality Reporting Program, Special Focus Program, and Requests for Information Look for a NAHC webinar on the FY2023 Hospice Payment Update in the coming days! On Wednesday, July 27, 2022, the Centers for Medicare & Medicaid Services (CMS) issued Medicare Program; FY […]
Read MoreCMS Sets Hospice Payment Update at 3.8 Percent FY2023
Finalizes Mitigation Policy for Significant Wage Index Losses Responds to Comments on the Hospice Quality Reporting Program, Special Focus Program, and Requests for Information Look for a NAHC webinar on the FY2023 Hospice Payment Update in the coming days! On Wednesday, July 27, 2022, the Centers for Medicare & Medicaid Services (CMS) issued Medicare Program; FY […]
Read MoreCMS Sets Hospice Payment Update at 3.8 Percent FY2023
Finalizes Mitigation Policy for Significant Wage Index Losses Responds to Comments on the Hospice Quality Reporting Program, Special Focus Program, and Requests for Information Look for a NAHC webinar on the FY2023 Hospice Payment Update in the coming days! On Wednesday, July 27, 2022, the Centers for Medicare & Medicaid Services (CMS) issued Medicare Program; FY […]
Read MoreCMS Updates Instructions for RHC/FQHC Billing of Hospice Attending Physician Services
Beginning January 1, 2022, to receive the Rural Health Center (RHC) All-Inclusive Rate (AIR) or Federally Qualified Health Center (FQHC) Prospective Payment System (PPS), the RHC or FQHC must report the GV modifier (attending physician not employed or paid under arrangement by the patient’s hospice provider) when a physician, Nurse Practitioner (NP), or Physician’s Assistant […]
Read MoreCMS Updates Instructions for RHC/FQHC Billing of Hospice Attending Physician Services
Beginning January 1, 2022, to receive the Rural Health Center (RHC) All-Inclusive Rate (AIR) or Federally Qualified Health Center (FQHC) Prospective Payment System (PPS), the RHC or FQHC must report the GV modifier (attending physician not employed or paid under arrangement by the patient’s hospice provider) when a physician, Nurse Practitioner (NP), or Physician’s Assistant […]
Read MoreCMS Issues Systems Changes, Guidance for RHC/FQHC Billing of Hospice Attending Physician Services
Earlier this year, Congress authorized Rural Health Centers (RHCs) and Federally Qualified Health Centers (FQHCs) to bill Medicare for hospice attending physician services provided by a physician nurse practitioner (NP) or physician assistant (PA) who is employed by the facility and is the patient’s designated attending physician. The Centers for Medicare & Medicaid Services (CMS) has […]
Read MoreCMS Issues Final FY2022 Hospice Payment Rule and Quality Reporting Program Update
Payment Update drops to 2.0%, “Labor Shares” Undergo Slight Adjustment Late on Thursday, July 29, the Centers for Medicare & Medicaid Services (CMS) released a final rule governing hospice payment and policy changes for fiscal year 2022 (FY2022). While the final rule does not stray far from that proposed on April 8, there are some changes: […]
Read MoreProposed Physician Payment Rule Addresses Attending Physician Services Provided by RHCs, FQHCs
–CMS Proposes Part D EPCS Exceptions that Exclude Hospice Waiver The Centers for Medicare & Medicaid Services (CMS) recently issued its proposed CY2022 physician payment rule and, as is frequently the case, the rule addresses some issues relevant to hospice care (as well as other matters). This article will discuss two hospice issues: Proposed implementing […]
Read MoreSurvey Reforms & Other Significant Changes for Hospice
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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