CMS has issued the final hospice payment rule for fiscal year (FY) 2015. The final rule includes final payment rate information and policy changes that become effective October 1, 2014, as well as a summary of public comments submitted earlier this summer and CMS’ responses. Hospices will see an increase of 1.4 percent for FY 2015.
CMS has finalized plans to impose timeframes for submission of the hospice notice of election (NOE) and a notice of termination or revocation (NOTR) if the hospice has not submitted a final claim. CMS has also set the time frame at 5 days following the effective date of election or date of termination/revocation as compared with a proposed 3-day time frame. CMS has finalized a proposal that requires hospices to calculate and file (alone with any overpayment due) their aggregate cap determinations within 5 months of the close of the cap year. However, CMS has decided against requiring hospices to calculate their inpatient caps.
Additionally, CMS has finalized its proposed requirements relative to inclusion of the patient or representative’s choice of attending physician on the hospice election statement (as well as documentation of a change in attending). These changes are all effective October 1, 2014.
Click here to see FY 2015 Hospice Final Medicare Payment Rates and the Summary of Final FY 2015 Hospice Payment Rule.