Hospice Reminder: The Deadline for Self-reporting of Your Aggregate Cap is February 28

Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2022 Cap year no later than February 28, 2023. Failure to file the self-determined cap report with your Medicare Administrative Contractor (MAC) timely may result in payment suspension. If you have a Cap-related liability, you are required to submit payment at the time you submit your…

Hospice Reminder: The Deadline for Self-reporting of Your Aggregate Cap is February 28

Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2022 Cap year no later than February 28, 2023. Failure to file the self-determined cap report with your Medicare Administrative Contractor (MAC) timely may result in payment suspension. If you have a Cap-related liability, you are required to submit payment at the time you submit your…

Quarterly Credit Balance Reports Due Soon

As a reminder, the Medicare Credit Balance Report for the quarter ending September 30th is due by October 30, 2022. The Centers for Medicare & Medicaid Services (CMS) requires participating providers to furnish information about payments made to them and to refund any monies incorrectly paid in a timely manner. The form CMS-838 is used to…

Final Reminder! Hospice Mandatory Reporting Reminder: Deadline for Self-reporting of Aggregate Cap is Feb 28

Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2021 Cap year no later than February 28, 2022. Failure to file the self-determined cap report with your Medicare Administrative Contractor (MAC) in a timely fashion may result in payment suspension. If you have a Cap-related liability, you are required to submit payment at the time…

Hospice Mandatory Reporting Reminder: Deadline for Self-reporting of Aggregate Cap is Feb 28

Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2021 Cap year no later than February 28, 2022. Failure to file the self-determined cap report with your Medicare Administrative Contractor (MAC) in a timely fashion may result in payment suspension. If you have a Cap-related liability, you are required to submit payment at the time you submit your report.

In order to calculate the Cap, you must be able to access your hospice’s PS&R data, so if you do not have access to CMS’ Identify Management System (formerly EIDM), through which the PS&R data is available) it is advisable that you take action immediately to ensure timely access so that you can meet the reporting deadline.

All three MACs for Home Health and Hospice have online instructions for self-calculation and submission of the Cap report; the information is available at the following locations:

Palmetto GBA

Recent postings to the Palmetto GBA website about the aggregate cap report are  available HERE and HERE.

Palmetto serves Home Health and Hospice providers in Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee, and Texas.

CGS

Recent CGS online postings about the aggregate cap report are available HERE.

CGS serves Home Health and Hospice providers in Colorado, Delaware, Iowa, Kansas, Maryland, Missouri, Montana, Nebraska, North Dakota, South Dakota, Pennsylvania, Utah, Virginia, West Virginia, Wyoming, and the District of Columbia.

NGS

NGS has updated its Hospice Cap self-calculation guidance; it is available online on the NGS website HERE.  The form is available in the NGS FORMS section.

NGS has two Home Health and Hospice Jurisdictions (JK and J6) and serves providers in the following states:  Alaska, American Samoa, Arizona, California, Connecticut, Guam, Hawaii, Idaho, Maine, Massachusetts, Michigan, Minnesota, Nevada, New Hampshire, New Jersey, New York, Northern Mariana Islands, Oregon, Puerto Rico, Rhode Island, US Virgin Islands, Vermont, Wisconsin, and Washington.

Hospice Mandatory Reporting Reminder: Deadline for Self-reporting of Aggregate Cap is Feb 28

Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2021 Cap year no later than February 28, 2022. Failure to file the self-determined cap report with your Medicare Administrative Contractor (MAC) in a timely fashion may result in payment suspension. If you have a Cap-related liability, you are required to submit payment at the time…

Home Health & Hospice MAC “Operation Collaboration” Summit Sessions Now Available Online

Earlier this year, the Home Health and Hospice (HHH) Medicare Administrative Contractors (MACs) – National Government Services (NGS), CGS and Palmetto GBA – hosted the 2021 Virtual HHH MAC Collaborative Summit titled, “Operation Collaboration: We are all in this Together”. The Summit was comprised of joint sessions that occurred on September 15 and 17, and…

Hospice MAC “Operation Collaboration” Summit Sessions Now Available Online

In mid-September, the Home Health and Hospice (HHH) Medicare Administrative Contractors (MACs) – National Government Services (NGS), CGS and Palmetto GBA – hosted the 2021 Virtual HHH MAC Collaborative Summit titled, “Operation Collaboration: We are all in this Together”. The Summit was comprised of joint sessions that occurred on September 15 and 17, and MAC-specific sessions that were held on September 16. The three-day event was a huge success, with more than 6,400 HHH provider attendees from every HHH jurisdiction in every state in the US. NGS is now hosting a virtual encore of the Summit video recordings for providers that were unable to attend.

NGS has posted 11 of the sessions online at the following location: HHH Summit Encore – YouTube.  The NGS webinars include joint sessions held on the first and third day of the Summit, as well as the NGS-specific sessions that were conducted on day two. These webinars will be available for viewing through November 25. Please note – two sessions are unavailable due to technical issues with the recordings.

CGS and Palmetto GBA have separately posted the sessions that they held on September 16; these sessions are available at the following locations:

The CGS sessions are available on CGS’ GoToStage at the following location:  https://www.gotostage.com/channel/j15education. This is also accessible from the Recorded Webinars icon on the Education Webpage. To access the CGS-specific Summit sessions go to Home Health and Hospice and look for the sessions identified as Summit sessions.

Palmetto GBA-specific sessions are available at the following location:  https://portal.on24.com/wcc/eh/581986/category/34041/featured (a search using “summit” will pull up the four Palmetto-specific sessions)

CMS Extends Medical Review Dates

The Centers for Medicare & Medicaid Services (CMS) has announced that Medicare Administrative Contractors (MACs) may now begin conducting post-payment medical review for later dates of services. On March 30, 2020 the Centers for Medicare & Medicaid Services (CMS) suspended most Medicare Fee-For-Service (FFS) medical review because of the COVID-19 pandemic.  On August 17, 2020…

Hospice Reminder: Deadline for Self-reporting of Aggregate Cap is March 1

Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2020 Cap year no later than March 1, 2021. Failure to file the self-determined cap report with your Medicare Administrative Contractor (MAC) timely may result in payment suspension. (Note: the deadline is usually the last day of February but because February…