CMS has rescinded Change Request 9114 (originally issued April 3) and has posted a replacement CR 9114. Additionally, a related Medlearn Matters article has also been posted.
CMS’ action is in response to concerns that the original issuance on April 3 was inconsistent with statements issued as part of the final hospice payment rule for FY 2015 relating to requirements surrounding designation of the attending physician. The final rule that was published in August 2014 suggested that in clearly identifying the attending physician the election statement should include the physician’s name, address or NPI. The April 3 CR indicated that the physician’s name and NPI must be included on the election statement.
In the reissued CR 9114, CMS “has revereted to the language included in the final rule. Because the new attending physician requirements were effective October 1, 2014 and the new language is reflective of what was included in the final payment rule, the effective date of changes in the revised CR9114 is October 1, 2014.”
NAHC has included two excerpts from the new CR 9114 on the attending physician designation to represent language that will be incorporated in Chapter 9 of the Medicare Benefit Policy Manual.
Click here to read more from NAHC.
Last week, NAHC received notification from staff at CMS that CMS plans to reissue Change Request (CR) 9114. The reissue is in response to concerns and questions many have raised about the requirement that hospices include the name and National Provider Identifier (NPI) number of the attending physicians on the patient’s election statement. NAHC has previously expressed concerns to CMS about the original language and sought clarification after it was released.
The following is the previously issued language to be revised:
“Information identifying the attending physician recorded on the election statement should provide enough detail so that it is clear which physician or Nurse Practitioner (NP) was designated as the attending physician. This must include, but is not limited to, the attending physician’s name and NPI number.”
Here is the revised language:
“Information identifying the attending physician recorded on the election statement should provide enough detail so that it is clear which physician or Nurse Practitioner (NP) was designated as the attending physician. This information should include, but is not limited to, the attending physician’s full name, office address, NPI number, or any other detailed information to clearly identify the attending physician.”
Click here for more information from NAHC.