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NAHC Report: Issue# 2452, 6/18/2014
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CMS Resources Available for the New Hospice Item Set Requirements
PECOS Errors Being Corrected
For Your Information: Discount for Advance Registration Ends June 20 for the Financial Management Conference & Exposition
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CMS Resources Available for the New Hospice Item Set Requirements

Beginning July 1, 2014, Medicare-certified hospices must directly submit a Hospice Item Set (HIS)-Admission and HIS-Discharge record for each patient admission that occurs on or after July 1.   Records must be submitted electronically.  In recent weeks, the Centers for Medicare & Medicaid Services (CMS) has released numerous materials to assist hospices in their preparations for the coming requirement. 

Failure to collect and report HIS records for July 1 through Dec. 31, 2014, will result in a 2 percent reduction in hospice payments for fiscal year (FY) FY2016. 

There are several new and updated HIS-related downloads and resources available for providers that should be reviewed in preparation for the July 1 HIS start date. Available resources and materials include:

Additional time was sought to allow for a more orderly transition resulting in more accurate data on the claim.  CMS responded with a letter dated March 28, 2014 indicating that the hospice industry has had a full eight months to prepare for the data reporting requirements and a delay is not necessary.

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PECOS Errors Being Corrected
NAHC has been informed that the issue will be resolved with the July 2014 system release. Now provider action is needed

A system integration error with the PECOS and claim processing has been identified. Below is from Palmetto, CGS has a similar message on their web site.

NAHC is increasingly hearing of claims being incorrectly denied due PECOS edits and suspected there was a system problem.   According to CGS, a resolution to this issue is scheduled for implementation with the July 2014 system release. 

No provider action is required.


SE1305 (PDF, 127 KB) - Full Implementation of Edits on the Ordering/Referring Providers in Medicare Part B, DME, and Part A Home Health Agency (HHA) Claims (Change Requests 6417, 6421, 6696, and 6856) required updates to Medicare systems. However, currently there is a system integration issue with how the provider enrollment files are being loaded to the claim system. 

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Discount for Advance Registration Ends June 20 for the Financial Management Conference & Exposition

REGISTER TODAY to get the Early Bird Rate of $675 for NAHC Members. On June 20, the rate increases to $725.

You can also save on your hotel accommodations by staying at NAHC's official host hotel, the Chicago Marriott Downtown, Chicago, IL. Book your hotel room by July 6 to secure the discounted NAHC room rate of $239.00.

As always, the conference will provide the latest in financial management strategy and practical ideas. Take advantage of this chance to hear from industry leaders about how you can increase cost efficiency and enhance revenue. You’ll come away with ideas you can put into practice right away when you return home.

Register Early and Save

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