Eli's Hospice Insider

Hospice News:

Expect Hospice Cap Info By November

CMS wants its MACs to waste no time in getting up to speed with hospice cap calculations -- and assessing resulting overpayments. On May 9, CMS directed its contractors to resume such calculations (see Eli's Hospice Insider, Vol. 5, No. 7).

CMS expects the MACs to issue caps for cap years ending through Oct. 31, 2010 within six months of that date, a rep from CMS's Office of Financial Management said in the agency's May 23 Open Door Forum for home care providers. That would be this November. Then MACs should issue caps for remaining years (fiscal year 2011) by March 31, 2013, the rep explained.

Remember: You'll be able to choose your cap calculation methodology if you haven't filed an appeal on the matter before. Your MAC should be sending you notification of your options if it hasn't already, CMS's Owen Osaghae said.

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