Hospice Regulatory Resources
CR8877/NOE-NOTR, HOSPICE DIAGNOSIS CODING | ||
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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. |
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Q&A: CR 8877 QUESTIONS AND ANSWERS | ![]() |
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Medicare Claims Processing Manual, Chapter 11 | ![]() |
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CMS CR 8877/Attachment A | ![]() |
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Medicare Code Editor, v. 31-0, Oct. 2013 | ![]() |
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MAC RESOURCES: | ||
CGS: Change Request 8877: Overview of Changes | ![]() |
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CGS: Change Request 8877: Frequently Asked Questions | ![]() |
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PALMETTO GBA: Canceling a hospice notice of election or benefit period | ![]() |
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PALMETTO GBA: NOTR Job Aid | ![]() |
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NGS: Canceling a hospice notice of election or benefit period | ![]() |
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Data Reporting on Hospice Claims | ||
Q&A: Additional Data Reporting Requirements for Hospice Claims | ![]() |
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Change Request 8358 – Additional Data Reporting Requirements for Hospice Claims (July 26, 2013) | ![]() |
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Data on Claims – proposed and as required under CR8358 | ![]() |
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Hospice/Part D | ||
NAHC/HAA TOOLS FOR HOSPICE PROVIDERS | ||
Part D PA Process Explanation | ![]() |
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Hospice and Part D – Questions and Answers | ![]() |
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Part D PA Process Tips | ![]() |
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Part D PA Process Sample Admission Notice | ![]() |
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CMS DOCUMENTS/GUIDANCE | ||
“Part D Payment for Drugs for Beneficiaries Enrolled in Medicare Hospice” Guidance July 2014 (NEW) | ![]() |
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“Hospice Information for Medicare Part D” Form (NEW) | ![]() |
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Part D Payment for Drugs for Beneficiaries Enrolled in Hospice—2015 Guidance | ![]() |
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CMS Final Guidance March 2014 | ![]() |
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CMS Guidance Dec 2013 | ![]() |
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Hospice Payment Reform | ||
Hospice Cost Reports: Benchmarks and Trends, 2004-2011 | ![]() |
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Analysis of Trends in General Inpatient Care (GIP) Utilization | ![]() |
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Analysis of Face-to-Face Visit Requirement | ![]() |
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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) | ![]() |
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Hospice Wage Index FY2013 Urban and Rural Areas in one spread sheet (includes comparison with previous years) | ![]() |
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Hospice Quality Reporting | ||
NQF Hospice-Approved Measures Note: These measures will be considered for possible future hospice quality reporting requirements. |
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HQRP Reference Table: Data Details — NQF Measures Proposed by CMS to Comprise Initial Hospice Information Set (HIS) (5/13/2013) | ![]() |
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NQF #0208 Family Evaluation of Hospice Care | ![]() |
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NQF #1617 Patients Treated with an Opioid who are Given a Bowel Regimen | ![]() |
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NQF #1634 Hospice and Palliative Care — Pain Screening | ![]() |
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NQF #1637 Hospice and Palliative Care — Pain Assessment | ![]() |
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NQF #1638 Hospice and Palliative Care — Dyspnea Treatment | ![]() |
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NQF #1639 Hospice and Palliative Care — Dyspnea Screening | ![]() |
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NQF #1641 Hospice and Palliative Care — Treatment Preferences | ![]() |
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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. | ![]() |
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Patient Notices | ||
Advance Beneficiary Notice of Non-Coverage | ||
CGS ABN Decision Tree | ![]() |
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Hospice Face-to-Face Encounter and Related Requirements | ||
CR 7337/Transmittal 141: New Hospice Certification Requirements and Revised Conditions of Participation (CoPs) | ![]() |
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Model Hospice Patient Information on Face-toFace Encounters | ![]() |
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Model Hospice Patient Letter | ![]() |
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Model Face-to-Face and Narrative for Recerticication of Terminal Illiness for Hospice | ![]() |
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Model Physician Face-to-Face and Narrative for Recertification of Terminal Illness for Hospice | ![]() |
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Hospice Face-to-Face Q & A | ![]() |
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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 | ![]() |
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Sample Individual Notification Letter | ![]() |
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Sample Posting Form | ![]() |