Hospice Final Rule for Payment/Wage Index Published in the Federal Register
CMS also published Change Request 8877 that details implementing various hospice policy changes
August 26, 2014 01:32 PM
The final rule for hospice payment/wage index was recently published today in the Federal Register and is now available online here.
In addition to the Hospice Final Rule being published in the Federal Register – codifying the rule for implementation – CMS has issued Change Request 8877, which was referenced during the recent Open Door Forum and will provide additional detail about implementation of various forthcoming hospice policy changes, including the NOE/NOTR and diagnosis coding on claims.
Change Request 8877 is available on the CMS website here.
Included in this CR is a list of diagnosis codes that, when used as a principal diagnosis on hospice claims, will result in the claim being returned to provider. NAHC’s affiliate Hospice Association of America is currently doing a comprehensive evaluation of the Change Request, and will share its findings in a future issue of NAHC Report.
Change Request 8877’s Summary of Changes is included below.
SUBJECT: Hospice Manual Update for Diagnosis Reporting and Filing Hospice Notice of Election
(NOE) and Termination or Revocation of Election. This CR rescinds and fully replaces CR 8777.
I. SUMMARY OF CHANGES: This instruction provides a manual update and provider education for new editing for principal diagnoses that are not appropriate for reporting on hospice claims. It also provides contractor requirements, a manual update, and provider education for newly required timeframes for filing a hospice notice of election, and a hospice notice of termination/revocation of election, and for the exceptions process available when a hospice notice of election is filed late. It also provides a clarification of the differences between Healthcare Common Procedure Coding System (HCPCS) site of service codes Q5003and Q5004.