Hospice Groups: CMS Should Reconsider Payment Rate Calculation Methods
Posted on Monday, July 1, 2019 12:10 PM
While the proposed reimbursement rate hikes for hospice care is positive for some levels, there is concern that how the rates are calculated and the potential for increased regulatory examination of higher acute care.
The new rule proposal from CMS calls for a 2.7% cut in routine home care payments and a 2.7% increase in payments for continuous home care, general inpatient care and inpatient respite care.
“We are very concerned about the data used in the analysis—specifically how few hospices were considered after applying the Level 1 edits and the 1% trim,” NHPCO said in a comment letter. “The resulting sample size is very small and only includes cost reports from a small subset of providers. For these reasons, we strongly believe that the cost data on which CMS relied were not sufficient for calculating the proposed reimbursement amounts.”
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