2013 Hospice Care Payment Rates

Payment rates for hospice care, the hospice aggregate cap amount, and the hospice wage index are updated annually. The 2013 payment rates equal the 2012 payment rates plus 1.6 percentage points. The new rates are effective for care and services from Oct. 1, 2012 through Sept. 30, 2013.

Code


Description

Rate

Wage Component Subject to Index

Non-weighted Amount

651

Routine home care

$153.45

$105.44

$48.01

652

Continuous home care

Full rate = 24 hours of care

$37.32= hourly rate

$895.56

$615.34

$280.22

655

Inpatient respite care

$158.72

$85.92

$72.80

656

General inpatient care

$682.59

$436.93

$245.66

The latest hospice cap amount for the cap year ending Oct. 31, 2012 is $25,377.01. The medical care expenditure category of the March 2012 Consumer Price Index for all urban consumers was used to compute the cap (411.498). This index is published by the Bureau of Labor Statistics.

Find out more at:

Medicare Benefit Policy Manual, chapter 9, “Coverage of Hospice Services Under Hospital Insurance,” section 90

Medicare Claims Processing Manual, chapter 11, “Processing Hospice Claims,” section 30.2

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