Regulatory

• Clean Copy of the CoPs

• Electronic Code of Federal Regulations (ECFR)

• OIG Compliance Program for Hospice

• OIG Exclusions List

• Guidance on Immediate Jeopardy

• Medicare Benefit Policy Manual – Chapter 9, Coverage of Hospice Services Under Hospital Insurance

• Medicare Claims Processing Manual – Chapter 11, Processing Hospice Claims

• Medicare Program Integrity Manual – Chapter 3, Verifying Potential Errors and Taking Corrective Actions

• Medicare Hospice Payment Rates FY2019

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Program for Evaluating Payment Patterns Electronic Report (PEPPER)

• PEPPER Resources Portal

 

Quality And Performance Improvement (QAPI)

• Hospice Quality Reporting (HQRP)

• Hospice Item Set (HIS)

• CAHPS (Consumer Assessment of Healthcare Providers and Systems) Hospice Survey

 

Targeted Probe and Education (TPE) Information

• TPE Information Sheet

• TPE Q&A Sheet

• CMS Manual Change Request 10249 – TPE (Released September 25, 2017)

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Assessment Scales

• FAST (Functional Assessment Staging)

• ICF (International Classification of Functioning, Disability, and Health)

• KPS (Karnofsky Performance Scale)

• NYHA (New York Heart Association) Classification System

• PPS (Palliative Performance Scale)

• Disease Trajectories

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Local Coverage Determinations (LCDs)

• LCDs for All Contractors (scroll to Local Coverage and select By Contractor or By State)

• CMS Medicare Administrative Contractor (MAC) Map

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​Miscellaneous​

• Billing Hospice Physician and Nurse Practitioner and PA Services Flow Sheet

• Common Hospice Acronyms

• Determining Relatedness to the Terminal Prognosis Process Flow

• Determination of Hospice Medical Coverage

• NHPCO Facts & Figures

• Physician and Nurse Practitioner Billing

• Post-Boot Camp Checklist

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