CMS is proposing that hospices get a 1.3% rate increase from Medicare in a newly issued rule. The rule means Medicare would spend $200 million more on hospices in 2016 than in 2015.
CMS is also using the rule is clarify how to properly document a diagnosis on claims forms. CMS said it is “concerned that some hospices are neither conducting a comprehensive assessment nor updating the plan of care as articulated by the conditions of participation to recognize the conditions that affect an individual’s terminal prognosis.”
Under the new rule, hospices would be required to report all diagnoses identified in initial and comprehensive assessments on hospice claims – whether they are related or unrelated to the patient’s terminal prognosis.
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