United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2014_register executive 2014-10-07 article Part III Rules and Regulations D09002ee1c7f8b9f1 D09002ee1c7f8bb04 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This final rule will update the hospice payment rates and the wage index for fiscal year (FY) 2015 and continue the phase-out of the wage index budget neutrality adjustment factor (BNAF). This rule provides an update on hospice payment reform analyses, potential definitions of "terminal illness" and "related conditions," and information on potential processes and appeals for Part D payment for drugs while beneficiaries are under a hospice election. This rule will specify timeframes for filing the notice of election and the notice of termination/revocation; add the attending physician to the hospice election form, and require hospices to document changes to the attending physician; require hospices to complete their hospice aggregate cap determinations within 5 months after the cap year ends, and remit any overpayments; and update the hospice quality reporting program. In addition, this rule will provide guidance on determining hospice eligibility; information on the delay in the implementation of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM); and will further clarify how hospices are to report diagnoses on hospice claims. Finally, the rule will make a technical regulations text change. 79 FR 50452 https://www.govinfo.gov/app/details/FR-2014-08-22/2014-18506 2014-18506 fr22au14-21 RIN 0938-AS10 4120-01-P CMS-1609-F https://www.govinfo.gov/app/details/FR-2014-08-22/2014-18506 https://www.govinfo.gov/content/pkg/FR-2014-08-22/html/2014-18506.htm https://www.govinfo.gov/content/pkg/FR-2014-08-22/pdf/2014-18506.pdf Administrative Practice and Procedure Health Facilities Medicare Reporting and Recordkeeping Requirements Hospice Care 59 p. 50452 50510 79 FR 50452 Title 42 Part 405 42 CFR Part 405 Title 42 Part 418 42 CFR Part 418 RIN 0938-AS10 Medicare Program; FY 2015 Hospice Wage Index and Payment Rate Update; Hospice Quality Reporting Requirements and Process and Appeals for Part D Payment for Drugs for Beneficiaries Enrolled in Hospice; Federal Register Vol. 79, Issue RULE 2014-18506 III DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2014-10-01 CMS-1609-F 4120-01-P 2014-18506 Final rule.

This final rule will update the hospice payment rates and the wage index for fiscal year (FY) 2015 and continue the phase-out of the wage index budget neutrality adjustment factor (BNAF). This rule provides an update on hospice payment reform analyses, potential definitions of "terminal illness" and "related conditions," and information on potential processes and appeals for Part D payment for drugs while beneficiaries are under a hospice election. This rule will specify timeframes for filing the notice of election and the notice of termination/revocation; add the attending physician to the hospice election form, and require hospices to document changes to the attending physician; require hospices to complete their hospice aggregate cap determinations within 5 months after the cap year ends, and remit any overpayments; and update the hospice quality reporting program. In addition, this rule will provide guidance on determining hospice eligibility; information on the delay in the implementation of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM); and will further clarify how hospices are to report diagnoses on hospice claims. Finally, the rule will make a technical regulations text change.

Effective Date: These regulations are effective on October 1, 2014. Debra Dean-Whittaker, (410) 786-0848 for questions regarding the CAHPS[supreg] Hospice Survey. Administrative Practice and Procedure Health Facilities Medicare Reporting and Recordkeeping Requirements Hospice Care Medicare Programs: Hospice Wage Index and Payment Rate Update, FY 2015; Hospice Quality Reporting Requirements and Process and Appeals for Part D Payment for Drugs for Beneficiaries Enrolled in Hospice , hospicepolicy@cms.hhs.gov hospicesurvey@cms.hhs.gov CMS.gov http://healthit.gov/policy-researchers-implementers/standards-and-certification-regulations http://hospicecahpssurvey.org http://oig.hhs.gov/oas/reports/region6/61000059.pdf http://wiki.siframework.org/LCC+LTPAC+Care+Transition+SWG http://wiki.siframework.org/Longitudinal+Coordination+of+Care http://www.ahrq.gov/workingforquality/nqs/nqs2013annlrpt.htm http://www.bls.gov/cpi/home.htm http://www.bls.gov/oes/current/naics4_621600.htm http://www.cdc.gov/nchs/data/icd/icd9cm_guidelines_2011.pdf http://www.cdc.gov/nchs/icd/icd9cm.htm http://www.cms.gov/Center/Provider-Type/Hospice-Center.html http://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS012949.html http://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/index.html http://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/downloads/Announcement2014.pdf http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/Hospice/Downloads/2014-PartD-Hospice-Guidance-Revised-Memo.pdf http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/Hospice/Downloads/Hospice-Info-PartD.pdf http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/Hospice/Downloads/Hospice-PartD-Payment.pdf http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/Hospice/Downloads/Part-D-Payment-Hospice-Final-2014-Guidance.pdf http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/Hospice/index.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Downloads/HIS_Admission_Final_4-8-2014.pdf http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Hospice-Item-Set-HIS.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/index.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Reconsideration-Requests.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/CMS-Quality-Strategy.html http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c09.pdf http://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing-Items/CMS1252151.html?DLPage=1&DLSort=1&DLSortDir=descending http://www.healthit.gov/facas/FACAS/health-it-policy-committee/hitpc-workgroups/certificationadoption http://www.hhs.gov/ocr/civilrights http://www.hhs.gov/secretary/about/priorities/priorities.html http://www.hospicecahpssurvey.org http://www.medpac.gov/chapters/Jun13_Ch05.pdf http://www.medpac.gov/chapters/Mar09_Ch06.pdf http://www.medpac.gov/transcripts/hospice_December2013_Public.pdf http://www.nhpco.org/nhpco-standards-practice http://www.nhpco.org/press-room/press-releases/nhpco-responds-washington-post http://www.nhpco.org/sites/default/files/public/regulatory/History_of_Hospice_Cap.pdf http://www.qualityforum.org/npp/ http://www.qualityforum.org/Setting_Priorities/Partnership/Measure_Applications_Partnership.aspx http://www.resdac.org/ http://www.sba.gov/sites/default/files/files/Size_Standards_Table http://www.whitehouse.gov/omb/bulletins/b03-04.html http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf http://www.whitehouse.gov/sites/default/files/omb/assets/bulletins/b10-02.pdf https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/ www.hospicecahpssurvey.org Vol. 79, no. 163 Office of the Federal Register, National Archives and Records Administration 2014-08-22 continuing daily deposited born digital 888 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2014-08-22 P0b002ee189da3bba 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr22au14 https://www.govinfo.gov/app/details/FR-2014-08-22 https://www.govinfo.gov/content/pkg/FR-2014-08-22/pdf/FR-2014-08-22.pdf https://www.govinfo.gov/content/pkg/FR-2014-08-22/xml/FR-2014-08-22.xml fdlp 49659 50536 DGPO 2014-10-07 2024-06-02 FR-2014-08-22 machine generated eng FR FR-2014-08-22 79 163