CMS Releases CR 9201 - Instructions Pertaining To Hospice Payment Reform
Posted on Friday, August 21, 2015 1:15 PM
CMS has released CR 9201, which corresponds to the payment changes that are part of Medicare's FY 2016 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements (the final rule). The CR updates the Medicare Claims Processing Manual, Chapter 10, effective January 1, 2016.
CR 9201 implements service intensity add-on (SIA) payments for hospice social worker and nursing visits provided during the last seven days of life when provided during routine home care. The instruction will implement two routine home care rates, paying a higher rate in the first 60 days of hospice election and lower rate for days 61 and later.
For the SIA payments, CMS will acquire new codes to distinguish between RN services and LPN service since the existing codes do not make this distinction. CMS is expected to obtain these codes as soon as January 1, 2016.
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