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CMS ISSUES HOSPICE RATES FOR FY 2011

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Wednesday, 04 August 2010

On July 22, 2010, the Centers for Medicare and Medicaid Services (CMS) published in the Federal Register the hospice wage index for fiscal year 2011, which begins on October 1, 2010.  Attached you will find the hospice rates for FY 2011.  The rates were released in a payment notice, rather than a proposed rule.  There is a comment period that is open until September 20, 2011.  However, unless a correction notice or other change is issued, the rates that were published are what providers will see for the year.  If a change or correction does occur, we will issue updated bulletins. Read full article.

 

NEW HOSPICE SITE OF SERVICE AND OTHER HOSPICE CLAIM REQUIREMENTS

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Thursday, 22 July 2010
Effective for claims with dates of service on or after October 1, 2010, the Centers for Medicare & Medicaid Services (CMS) will require that hospice providers report HCPCS Q5010 when Routine Home Care (RHC) or Continuous Home Care (CHC) is provided at a hospice residential facility, or a hospice facility which is also certified to provide inpatient care. Read full article.
 

PALMETTO BEGINS PAPERLESS COST REPORT SETTLEMENT PROCESS

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Monday, 14 June 2010
The Provider Audit Department of Palmetto GBA is implementing a paperless method for the final settlement process of their Medicare cost reports.   In order to have a seamless transition into the paperless final settlement process, Palmetto GBA is taking the following measures to ensure they send the settled Medicare cost report to the correct e-mail address of the provider:

·        Provider Reimbursement will send a reminder letter prior to the due date of the Medicare cost report requesting updated contact information.

·        Provider Audit will call each provider to obtain or confirm the correct e-mail address prior to sending out the final Medicare cost report.  Palmetto would appreciate a confirmation e-mail from the preferred e-mail address of the provider.

·        The next Notice of Program Reimbursement (NPR) for your Medicare cost report will be sent via e-mail.  In order to view the file, you must have Adobe Acrobat Reader installed on your computer.  Adobe Reader can be downloaded at http://get.adobe.com/reader/. 

Read full article.

 

EFFECTIVE DATE OF REPORTING ATTENDING AND HOSPICE PHYSICIAN CERTIFYING THE TERMINAL ILLNESS

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Monday, 04 January 2010
On December 23, 2009, the Centers for Medicare and Medicaid Services (CMS) issued transmittal R1885CP, delaying the effective date of the requirements to report the attending physician and hospice physician certifying the terminal illness.  The reporting will be optional as of January 1, 2010, and mandatory as of April 1, 2010.   Please refer to FR&R’s Hospice Bulletin HOS #2009-09 that was issued on December 18, 2009 and titled “CMS Modifies Instructions for Reporting the Attending Physician and the Hospice Physician Certifying the Terminal Illness” for the full instructions.  All information except for the effective date remains the same. Read full article.
 

OIG 2010 WORK PLAN RELEASED FOR HOSPICES

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Saturday, 21 November 2009

On October 1, 2009, the Office of Inspector General (OIG) released its yearly Work Plan of initiatives for federal fiscal year 2010 which began on October 1, 2009.  Areas of particular interest to Hospices are:

 

1)          Physician Billing for Medicare Hospice Beneficiaries:  The OIG will review the extent of Part B billing for physician services provided to Medicare hospice beneficiaries.  They wish to ensure that services that are covered under the Medicare hospice benefit and included in the hospice payment are not being reimbursed separately by Part B. Read full article.
 
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