Information on hospice, including memos and rules from the Centers of Medicare and Medicaid Services (CMS), information on the Conditions of Participation (CoPs), information from MedPAC, and legislative, funding, and regulatory updates.
We've featured some articles below, but be sure to check out all of our hospice content.
On July 18, the Center for Medicare and Medicaid Services (CMS) released Part D Payment for Drugs for Beneficiaries Enrolled in Medicare Hospice, a notice that encourages sponsors to place beneficiary-level prior-authorization requirements on only 4 categories of prescription drugs identified in a June 2012 Office of Inspector General (OIG) Report. This change in policy will significantly reduce the the challenges and difficulties present under the current full Prior Approval policy.
LeadingAge submitted comments to the Centers for Medicare and Medicaid Services (CMS) on its FY 2015 hospice proposed rule.
On May 2, 2014, the Centers for Medicare and Medicaid Services (CMS)
issued a proposed rule that addresses the (FY) 2015 Medicare payment rates and the wage index for hospices, the definitions of “terminal illness” and “related conditions,” the hospice notice of election, the notice of termination/revocation, the attending physician on the election form signed by the beneficiary, the Hospice Experience of Care Survey, the quality reporting requirements for the FY 2016 payment determination for new hospices, and cap determination. Public comments on the proposal will be accepted until COB Tuesday, July 1, 2014.
The Center for Medicare and Medicaid Services (CMS) is proposing to amend the fire safety standards for a variety of Medicare and Medicaid participating health care facilities, including nursing homes, hospices providing inpatient services, and Programs of All-Inclusive Care for the Elderly (PACE) facilities. Comments are due to CMS by June 16.
The Centers for Medicare and Medicaid Services (CMS) announced on
February 20 that it will scale down current RAC operations to
complete all outstanding claims reviews and other processes before
current contracts end. The Office of Medicare Hearings and Appeals
(OMHA) decided in January,
2014, to temporarily suspend assignment of most new requests for
administrative law judge (ALJ) hearings for at least 2 years.
Representatives ask for an "immediate reform" of the Medicare Recovery
Audit Contractor (RAC) Program.