In Billing
May 23rd, 2018
Starting Oct. 1, hospital discharges to hospice care qualify as a post-acute care transfer and may have payment adjustments for Medicare patients. According to the Centers for Medicare & Medicaid Services (CMS) Transmittal 2055, change request 10602, under the policy regulations § 412.4: * When a patient is transferred to another hospital and their stay ...
In Billing
May 14th, 2018
Newly-released proposed rules provide a preliminary view of the fiscal year (FY) 2019 payment and policy updates to the Medicare program for hospices, inpatient psychiatric facilities, skilled nursing facilities, and inpatient rehabilitation facilities. The Centers for Medicare & Medicaid Services (CMS) released the four proposed rules on May 8. Hospice Update and Reporting Requirements This pr...
In Billing
May 9th, 2018
Since the implementation of the hospice benefit in 1983, the number of Medicare beneficiaries receiving hospice services has grown from 513,000 in 2000 to nearly 1.5 million in 2017. Over the years, there have been changes in the diagnosis patterns among Medicare hospice enrollees — largely due to changes in coverage. In 2002, lung cancer ...
In Audit
Aug 15th, 2017
Effective June 15, 2017, the Office of Inspector General (OIG) now updates its Work Plan website, monthly. The OIG 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 by OIG’s Office of Audit Services and Office of ...
Aug 2nd, 2017
Hospices that are successful quality reporters will fair better. CMS filed a final rule in the Federal Register on Aug. 1, updating the hospice wage index, payment rates, and cap amount for fiscal year (FY) 2018 (Oct. 1, 2017 – Sept. 30, 2018). The final rule includes new quality measures and provides an update on ...