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CMS Releases A Hospice Proposed Payment Rule For FY 2016

Posted on Tuesday, May 5, 2015 3:29 PM

CMS has released a proposed payment rule for fiscal year (FY) 2016 that address payment reform of the routine home care (RHC) level of care by providing a differential payment of two separate rates. One rate is for care provided from day one through day 60 of an episode of hospice care and another for days 61 and after. In the proposed rule, CMS also provides for a Service Intensity Add-on (SIA) that would be added to RHC payment for RN and social work visits provided during the last seven days of life. The rule “conveys CMS’ intent to transition the hospice Cap year to the federal fiscal year and implement the alternative method for annual updates to the aggregate Cap mandated by the IMPACT Act, signals CMS’ future intent relative to public reporting of hospice quality data, and clarifies that hospice programs must submit on claims all diagnoses (related or unrelated) of patients under their care.” NAHC is currently conducting an in-depth analysis of the proposed regulation and its potential impact on hospices. Click here to see the proposed rule. Click here for more details from NAHC.

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