CMS Issues Systems Changes, Guidance for RHC/FQHC Billing of Hospice Attending Physician Services

Earlier this year, Congress authorized Rural Health Centers (RHCs) and Federally Qualified Health Centers (FQHCs) to bill Medicare for hospice attending physician services provided by a physician nurse practitioner (NP) or physician assistant (PA) who is employed by the facility and is the patient’s designated attending physician. The Centers for Medicare & Medicaid Services (CMS) has…

CMS Issues Final FY2022 Hospice Payment Rule and Quality Reporting Program Update

Payment Update drops to 2.0%, “Labor Shares” Undergo Slight Adjustment Late on Thursday, July 29, the Centers for Medicare & Medicaid Services (CMS) released a final rule governing hospice payment and policy changes for fiscal year 2022 (FY2022). While the final rule does not stray far from that proposed on April 8, there are some changes:…

Proposed Physician Payment Rule Addresses Attending Physician Services Provided by RHCs, FQHCs

–CMS Proposes Part D EPCS Exceptions that Exclude Hospice Waiver The Centers for Medicare & Medicaid Services (CMS) recently issued its proposed CY2022 physician payment rule  and, as is frequently the case, the rule addresses some issues relevant to hospice care (as well as other matters).  This article will discuss two hospice issues: Proposed implementing…

Survey Reforms & Other Significant Changes for Hospice

The Consolidated Appropriations Act 2021 was passed at the end of December 2020, contains numerous provisions applicable to all provider types and some that are hospice-specific. (See this NAHC Report for earlier news & analysis on the subject.) Below is a detailed summary of the hospice-specific provisions in date order, as appropriate, and any additional information…