decisionhealth Newsletters, Part B News - 2011 Issue 3 (March)
Certification rules for Medicare hospice coverage clarified by CMS
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Article Overview
This article explains Medicare hospice certification and recertification guidance issued by CMS, including timing for certifications, the required face-to-face visit for later benefit periods, and documentation expectations for the physician narrative. It is relevant to hospice providers, physicians, nurse practitioners, and billing/coding staff who need to understand current Medicare hospice coverage rules and related manual updates.
Why This Topic Matters
Hospice coverage depends on meeting Medicare certification and documentation requirements. This update helps providers understand the timing and recordkeeping expectations that affect eligibility and compliance.
What You Will Learn
- How CMS has clarified hospice certification and recertification timing
- What documentation is expected for face-to-face hospice visits
- How physician narratives must be incorporated into hospice certification records
- Who may complete hospice certification when an attending physician is not available
Who Should Read This
- Hospice providers
- Physicians
- Nurse practitioners
- Medical coders
- Billing and compliance staff
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