In Billing
Aug 15th, 2016
Final changes to the hospice quality reporting program, along with new wage index, payment rates, and cap amounts for 2017 have been announced by the Centers for Medicare & Medicaid Services (CMS). The rule looks to the future, as well, describing a new data collection instrument. This is important with two new quality measures — ...
In CMS
Jun 10th, 2015
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1629-P) to update 2016 Medicare payment rates and the wage index for hospices. The 2016 proposal would give hospices an estimated 1.3 percent ($200 million) increase in their payments. According to “2016 Hospice NPRM CMS-1629-P CMS Updates to the Wage Index and Payment ...
In Billing
Dec 3rd, 2014
The 2015 therapy cap for combined physical therapy and speech-language pathology services is $1,940. For occupational therapy, the cap for 2015 is $1,940, also. Physicians, therapists, and other providers who supply therapy services for Medicare patients should ensure that billing staff is aware of these changes. The therapy cap applies to home health and hospice ...
In Billing
Sep 12th, 2014
The Centers for Medicare & Medicaid Services (CMS) Change Request (CR) 8877 updated Medicare hospice manual instructions for acceptable principal diagnosis codes and timely filing of Notice of Election (NOE), as well as coding guidance for skilled versus non-skilled nursing facilities. Changes are effective October 1. Hospice Principal Diagnosis Coding Guidance The coding instructions in ...
In Billing
Jul 23rd, 2014
The Centers for Medicare & Medicaid Services (CMS) released a memorandum July 18 notifying Part D sponsors and hospices that it has revised its March 10 guidance on prior authorization. Recognizing that requiring prior authorization for all drugs could prevent hospice patients from receiving certain medications they so desperately need in a timely manner, CMS ...