Regulatory

• Electronic Code of Federal Regulations (ECFR) - Hospice Care

• FY 2022 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice and Home Health Quality Reporting Program Requirements

• FY 2022 Hospice Final Rule Training Handout

• OIG Top Unimplemented Recommendations

• OIG Compliance Program for Hospice

• OIG Excluded Persons Database

• OIG Nationwide Review of Hospice Eligibility

• OIG Medicare Payments of $6.6 Billion to Nonhospice Providers ... Suggest the Need for Increase Oversight

• 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

• State Operations Manual, Appendix M - Guidance to Surveyors / Hospice

  • Appendix Z - Emergency Preparedness - Hospice begins on page 13​

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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)

• HQRP Current Measures

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

• Care Compare Website

• Performance Improvement Project (PIP) Tool

 

Audit Information

• Audit Response Information

• TPE Information Sheet

• TPE Q&A Sheet

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

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Pandemic / Public Health Emergency / COVID-19

• CMS Flexibilities to Fight COVID-19 / Waiver Information

• COVID-19 FAQs on Medicare Fee-For-Service Billing

• COVID-19 Provider Burden Relief - CMS FAQ

• Medicare Telemedicine Health Care Provider Fact Sheet

• American Medical Association (AMA) Telehealth Implementation Playbook

 

Assessment Scales

• ECOG (Eastern Cooperative Oncology Group)

• FAST (Functional Assessment Staging)

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

  • ICF in Detail and More Information​

• KPS (Karnofsky Performance Scale)

• NYHA (New York Heart Association) Classification System

• PPS (Palliative Performance Scale)

• Disease Trajectories

• Time-To-Task ADL Completion Tool

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Local Coverage Determinations (LCDs)

• LCDs for All Contractors

  • Select a Report dropdown menu

  • Scroll to Local Coverage Final LCDs by ... contractor, state, alphabetical)

• CMS Medicare Administrative Contractor (MAC) Map

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​Miscellaneous​

• Addendum Frequently Asked Questions

  • Advance Beneficiary Notice of Non-Coverage (ABN) Flow Sheet

  • ​Notice of Medicare Non-Coverage (NOMNC) and Detailed Explanation of Non-Coverage (DENC) Flow Sheet​

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

• Common Hospice Acronyms

• Determining Relatedness to the Terminal Prognosis Process Flow (from NHPCO)

• Determination of Hospice Medical Coverage (from NHPCO)

• NHPCO Facts & Figures

• Physician and Nurse Practitioner Billing

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Weatherbee Resources Products​

• Join the Hospice Compliance Network / HCN today!  $1,000 special first year offer!

• LCD Pocket Pal

• See all the Weatherbee Resources Products including Hospice Contracts and Hospice Policies & Procedures!

 

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