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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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Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!

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