Hospice Regulatory Issues

CR8877/NOE-NOTR, HOSPICE DIAGNOSIS CODING
RESOURCES

PLEASE NOTE:  We caution providers that some processes related to the NOE(and possibly the NOTR) may be MAC-SPECIFIC – this means that it is very important that you seek out instructions from your assigned MAC to be certain that you are following the proper procedure.

Q&A: CR 8877 QUESTIONS AND ANSWERS excelthumb
Medicare Claims Processing Manual, Chapter 11 excelthumb
CMS CR 8877/Attachment A excelthumb
Medicare Code Editor, v. 31-0, Oct. 2013   excelthumb
MAC RESOURCES
CGS: Change Request 8877: Overview of Changes webthumb
CGS: Change Request 8877: Frequently Asked Questions webthumb
PALMETTO GBA: Canceling a hospice notice of election or benefit period webthumb
PALMETTO GBA: NOTR Job Aid webthumb
NGS: Canceling a hospice notice of election or benefit period webthumb
Data Reporting on Hospice Claims
Q&A: Additional Data Reporting Requirements for Hospice Claims excelthumb
Change Request 8358 – Additional Data Reporting Requirements for Hospice Claims (July 26, 2013) excelthumb
Data on Claims – proposed and as required under CR8358 excelthumb
Hospice/Part D
NAHC/HAA TOOLS FOR HOSPICE PROVIDERS
Part D PA Process Explanation excelthumb
Hospice and Part D – Questions and Answers excelthumb
Part D PA Process Tips excelthumb
Part D PA Process Sample Admission Notice excelthumb
CMS DOCUMENTS/GUIDANCE
“Part D Payment for Drugs for Beneficiaries Enrolled in Medicare Hospice” Guidance July 2014 (NEW) excelthumb
“Hospice Information for Medicare Part D” Form (NEW) excelthumb
Part D Payment for Drugs for Beneficiaries Enrolled in Hospice—2015 Guidance excelthumb
CMS Final Guidance March 2014 excelthumb
CMS Guidance Dec 2013 excelthumb
Hospice Payment Reform
 Hospice Cost Reports:  Benchmarks and Trends, 2004-2011 excelthumb
Analysis of Trends in General Inpatient Care (GIP) Utilization excelthumb
Analysis of Face-to-Face Visit Requirement excelthumb
Hospice Payment
Hospice FY2014 Wage Index
FINAL RULE:  FY2014 Hospice Wage Index and Payment Rate Update; Hospice Quality Reporting Requirements; and Update on Payment Reform
Hospice Wage Index FY2014 (With % Change over FY2013 Value) excelthumb
Hospice Wage Index FY2013 Urban and Rural Areas in one spread sheet (includes comparison with previous years) excelthumb
Hospice Quality Reporting
NQF Hospice-Approved Measures
Note: These measures will be considered for possible future hospice quality reporting requirements.
HQRP Reference Table:  Data Details — NQF Measures Proposed by CMS to Comprise Initial Hospice Information Set (HIS)  (5/13/2013) pdfthumb
NQF #0208 Family Evaluation of Hospice Care pdfthumb
NQF #1617 Patients Treated with an Opioid who are Given a Bowel Regimen pdfthumb
NQF #1634 Hospice and Palliative Care — Pain Screening pdfthumb
NQF #1637 Hospice and Palliative Care — Pain Assessment pdfthumb
NQF #1638 Hospice and Palliative Care — Dyspnea Treatment pdfthumb
NQF #1639 Hospice and Palliative Care — Dyspnea Screening pdfthumb
NQF #1641 Hospice and Palliative Care — Treatment Preferences pdfthumb
NQF #1647 Percentage of hospice patients with documentation in the clinical record of a discussion of spiritual/religious concerns or documentation that the patient/caregiver did not want to discuss. pdfthumb
Patient Notices
Advance Beneficiary Notice of Non-Coverage
CGS ABN Decision Tree pdfthumb
Hospice Face-to-Face Encounter and Related Requirements
CR 7337/Transmittal 141: New Hospice Certification Requirements and Revised Conditions of Participation (CoPs) pdfthumb
Model Hospice Patient Information on Face-toFace Encounters wotdthumb
Model Hospice Patient Letter wotdthumb
Model Face-to-Face and Narrative for Recerticication of Terminal Illiness for Hospice wotdthumb
Model Physician Face-to-Face and Narrative for Recertification of Terminal Illness for Hospice wotdthumb
Hospice Face-to-Face Q & A pdfthumb
Reporting Reasonable Suspicion of a Crime
Reporting Reasonable Suspicion of a Crime in a Long-Term Care Facility (LTC): Section 1150B of the Social Security Act pdfthumb
Sample Individual Notification Letter wotdthumb
Sample Posting Form wotdthumb