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2014-10-07
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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
Part III
Rules and Regulations
D09002ee1bdc3d1d1
D09002ee1bdc3d2e4
United States
Department of Health and Human Services
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org
United States Government Agency or Subagency
United States
Centers for Medicare & Medicaid Services
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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
Code of Federal Regulations
Title 42 Part 405
42 CFR Part 405
Code of Federal Regulations
Title 42 Part 418
42 CFR Part 418
Regulation Identification Number 0938-AS10
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
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http://www.medpac.gov/chapters/Mar09_Ch06.pdf
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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
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http://www.qualityforum.org/Setting_Priorities/Partnership/Measure_Applications_Partnership.aspx
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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
Federal Register
Vol. 79, no. 163
Office of the Federal Register, National Archives and Records Administration
2014-08-22
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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
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0042-1219
0364-1406
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000582072
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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
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