Category: Hospice Cap Requirements

Hospice FY2019 Proposed Rule – Payment and Quality Reporting Program

By Katie Wehri / Posted on: May 4, 2018

The 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.


Hospice MedPAC Report to Congress

By Katie Wehri / Posted on: April 4, 2018

Each 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.


Hospice Aggregate Cap Update

By Katie Wehri / Posted on: January 5, 2018

Hospices 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.


Updates to the Hospice Aggregate Cap

By Katie Wehri / Posted on: September 1, 2017

The 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…


2018 Hospice Final Rule & NOE Electronic Submission

By Katie Wehri / Posted on: August 4, 2017

Late 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…


Hospice Regulatory Update

By Melinda Gaboury / Posted on: August 18, 2016


Hospice Untimely NOE and CAP Self Reporting

By Melinda Gaboury / Posted on: March 3, 2015


Hospice CAP Self-Reporting: Are you prepared?

By Melinda Gaboury / Posted on: February 3, 2015