New data show there’s still plenty of opportunity for hospices and other providers to educate doctors that advance care planning codes exist and about how to conduct end-of-life discussions.
CMS’ supplemental medical review contractor (SMRC) has begun its first-ever project involving hospices — and this scrutiny could lead to recoupments.

Slides from a recent CMS presentation revealed the federal Medicare agency plans to include within a new Hospice Compare website the seven current process measures from the Hospice Item Set (HIS) and eight Hospice CAHPS survey measures.


Pay close attention to how well your hospice’s RNs manage patient symptoms and whether RNs’ documentation supports the frequency with which they’re conducting visits.

Closely examine new CMS guidance explaining what complete, written certifications from physicians must include. Also, review your hospice’s election statement and ensure it includes the information CMS provided within a new sample statement.
A new change request from CMS seeks to resolve a problem that has caused many hospices to be slammed with thousands of dollars in lost revenue.
by: CMS
View a sample hospice election statement.
CMS on Oct. 6 released a “privacy-protected public data set” known as the Hospice Utilization and Payment Public Use File (Hospice PUF).
Fully train patients’ families about the restlessness and agitation their loved one may experience while receiving hospice care. Doing so will prepare families for stressful situations and could improve your hospice satisfaction scores.
Although CMS announced in August that a correction related to hospice payment issues had been implemented, payments still aren’t processing correctly, according to the National Association for Home Care & Hospice (NAHC).


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