Category: Hospice Cap Requirements
Self-Reporting your Hospice Aggregate Cap: Reviewing the Details
By Melinda Gaboury / Posted on: February 3, 2025We have approached the time of the year to address the self-reporting of your Hospice aggregate CAP. For this year, the aggregate CAP must be submitted by February 28, 2025, and will cover the fiscal year ending on September 30, 2024.
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Hospice Self-Reported Aggregate Cap Due by February 28 (VIDEO)
By Melinda Gaboury / Posted on: February 20, 2023This week’s Monday Minute, we discuss time-sensitive information regarding the Hospice Aggregate Cap.
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The Impact of 2022 Omnibus Legislation on Home Health and Hospice (VIDEO)
By Melinda Gaboury / Posted on: January 3, 2023In this Monday Minute, we discuss the content of the recently passed Omnibus budget legislation as it relates specifically to Home Health and Hospice.
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2023 Hospice Final Payment Rule (VIDEO)
By Melinda Gaboury / Posted on: August 1, 2022This session will review the key highlights from the 2023 Hospice Final Rule. Payment rates have increased, the Hospice Cap is set and the HOPE is looking for Beta testers. Don’t miss it!
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Hospice FY2019 Proposed Rule – Payment and Quality Reporting Program
By Katie Wehri / Posted on: May 4, 2018The FY 2019 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements proposed rule was recently made available. Of concern is the fact that CMS found 66% of hospice cost reports would have been rejected had certain edits been in place. Check back soon for future blog articles containing more detailed information about the quality reporting program updates and comments in the proposed rule.
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Hospice MedPAC Report to Congress
By Katie Wehri / Posted on: April 4, 2018Each year the Medicare Payment Advisory Commission (MedPAC) submits its annual report to Congress which contains information and recommendations related to Medicare fee-for-service (FFS) programs. This article details the 2018 annual report recommendations for Hospice.
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Hospice Aggregate Cap Update
By Katie Wehri / Posted on: January 5, 2018Hospices are reminded that the Aggregate Cap calculation is due to their Medicare Administrative Contractor (MAC) no later than February 28, 2018. This is one month earlier than in the past due to the fact that the cap accounting year for both the inpatient cap and the hospice aggregate cap is being aligned with the federal fiscal year. Not only does this change the due date for the Aggregate Cap calculation it also changes the timeframes used for the calculation.
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Updates to the Hospice Aggregate Cap
By Katie Wehri / Posted on: September 1, 2017The inpatient cap limits the number of days of inpatient care for which a hospice can bill Medicare to no more than 20% of total Medicare days billed, and the aggregate cap limits the total dollar amount of payments from Medicare that can be received. The aggregate cap was originally intended to ensure that hospice payments would not exceed Medicare expenditures in a conventional setting. The aggregate cap amount is…
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2018 Hospice Final Rule & NOE Electronic Submission
By Katie Wehri / Posted on: August 4, 2017Late Tuesday, August 1, 2017 the final hospice rule – FY 2018 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements – was posted. The rule contains the FY2018 finalized payment rates, aggregate cap, and hospice quality reporting changes. On July 27, 2017 CMS released Transmittal 3813/Change Request (CR) 10064 – Accepting Hospice Notices of Election via Electronic Data Interchange. Hospices will be happy to hear…
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Hospice Regulatory Update
By Melinda Gaboury / Posted on: August 18, 2016Over the last few weeks there have been updates that hospice should be aware of: the 2017 Final Rule has been issued and Medicare MACs have finally acknowledged that the…
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Hospice Untimely NOE and CAP Self Reporting
By Melinda Gaboury / Posted on: March 3, 2015HOSPICE UNTIMELY NOE With the new timely filing deadline for the filing and acceptance of the Notice of Election (NOE) documents there are reimbursement issues that occur when those timely…
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Hospice CAP Self-Reporting: Are you prepared?
By Melinda Gaboury / Posted on: February 3, 20152015 brought a major new requirement to the front door step of Hospice agencies! All hospices, regardless of whether for profit or not, must self report aggregate cap calculations to…
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