CMS Issues Final Hospice Payment Rule for FY2015
Late Monday, Aug. 4, the Centers for Medicare & Medicaid Services (CMS) issued a final rule governing hospice payment for fiscal year (FY) 2015. The rule included final payment rate information and policy changes that become effective on Oct. 1, 2014, as well as a summary of public comments submitted earlier this summer and CMS’ responses. For FY2015, the combined impact of market basket changes, legislatively-mandated reductions and wage index changes will net hospices an increase of 1.4 percent.
Relative to key hospice policy changes, CMS was response to a number of industry comments. While CMS is finalizing plans to impose timeframes for submission of the hospice notice of election (NOE) and a notice of termination or revocation (NOTR) if the hospice has not submitted a final claim, it has set the time frame at 5 days following the effective date of election or date of termination/revocation as compared with a proposed 3-day time frame. CMS also finalized a proposal requiring hospices to calculate and file (along with any overpayment due) their aggregate cap determinations within 5 months of the close of the cap year but decided against requiring hospices to calculate their inpatient caps. CMS also finalized its proposed requirement relative to inclusion of the patient or representative’s choice of attending physician on the hospice election statement (as well as documentation of a change in attending). All of these changes are effective Oct. 1, 2014.
The National Association for Home Care & Hospice (NAHC) is conducting analysis of the final rule and will be providing additional coverage in future issues of NAHC Report.
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