CMS Primary Care First “High Need Population” Model Envisions Role for Hospice Clinicians

In late April the Centers for Medicare & Medicaid Services (CMS) announced further plans to encourage primary care practices to participate in value-based payment arrangements under new “Primary Care First” models, which will be operated under the Center for Medicare and Medicaid Innovation (CMMI) and are designed to reward high quality outcomes in primary care…

New CMS Webinar on how to Ensure Your Agency’s Hospice Compare Data is Accurate

The Centers for Medicare & Medicaid Services (CMS) will be hosting a webinar on Tuesday, June 11, 2019, from 2:00 to 3:30 p.m. ET. The primary purpose of the webinar is to increase providers’ awareness of how to use the new Review and Correct Report to verify the data displayed on the Hospice Compare website…

CMS Finalizes Changes to the Appeals Regulations

On May 7, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that that fine-tunes several of the regulations governing the Medicare appeals process. CMS finalized all the provisions in the rule as proposed. Removal of Requirement That Appellants Sign Appeal Requests CMS finalized its proposal to allow appellants in Medicare…

Veterans Administration to Require New Agreements Under Community Care Program

The Veterans Administration (VA) has issued an interim final rule that implements section 102 of the VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 (MISSION Act), authorizing the VA to enter into agreements with community providers to furnish required care and services when care and services are not feasibly available through…

CMS Restructures BFCC-QIO Regions

New BFCC-QIO for some states Effective June 8, 2019, the Centers for Medicare & Medicaid Services (CMS) restructured the BFCC-QIO coverage and created 10 Regions across the United States. Beginning June 8, 2019, KEPRO will be responsible for Regions 1,4,6,8, and 10. Livanta will be responsible for Regions 2,3,5,7, and 9. If your agency is…

Summary of Key Points in the CMS Open Door Forum on Home Health, Hospice

The Centers for Medicare & Medicaid Services (CMS) held a Home Health, Hospice & DME Open Door Forum (ODF) on May 15, 2019.  Below is a summary of the ODF topics pertaining to home health and hospice. Hospice CMS reviewed the FY2020 Hospice Proposed Rule key points.  It was clear from the questions at the…

CMS Updates Info on New Medicare Cards

The Centers for Medicare & Medicaid Services (CMS) sent out a brief update on the new Medicare cards that were shipped out to all beneficiaries from April 2018 to April 2019. You can find the Medicare Beneficiary Identifier (MBI) on the remittance advice of a prior claim or from your Medicare Administrative Contractor’s portal (get access…

New CMS Open Door Forum Tomorrow to Focus on Hospice Proposed Rule, Home Health CAHPS and Much More

The next Home Health, Hospice & DME Open Door Forum is scheduled for Wednesday, May 15, 2019 from 2:00 PM to 3:00 PM Eastern Time, and it will focus on a wide variety of topics, including the hospice proposed final rule, quality reporting, CAHPS, and more. Please note that the agenda is subject to change…

CMS Announces Further Changes to Support Hospice Eligibility Inquiries in HETS

Over recent years the Centers for Medicare & Medicaid Services (CMS) has sought to streamline hospice beneficiary eligibility inquiries and establish the HIPAA Eligibility Transaction System (HETS) as the single source for this data. This effort was delayed due in part to the availability of insufficient information in the HETS system regarding hospice benefit period…

Have You Retrieved Your Hospice PEPPER?

Don’t miss this NAHC webinar on how to understand and use PEPPER. It’s free to members! As previously reported, the Hospice Program for Evaluating Payment Patterns Electronic Report (PEPPER) became available for hospices to download at the beginning of April. The PEPPER is only available via download from the PEPPER Resources portal.  PEPPER is a…