Hospice Reimbursement: Seesaw Financial Future for Hospice

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article discusses proposed Medicare hospice payment updates for 2015, including the payment-rate outlook, hospice aggregate cap changes, and CMS’s interest in accelerating overpayment recovery processes. It also covers the agency’s decision to gather more hospice claims and cost report data before advancing broader hospice payment reform. The piece is relevant to hospice providers, revenue cycle and reimbursement teams, and anyone tracking Medicare policy changes affecting hospice payment methodology.

Why This Topic Matters

The article highlights proposed Medicare hospice reimbursement changes that could affect payment levels, cap management, cash flow timing, and compliance processes. It also explains why CMS is collecting additional data before making broader payment reform decisions, which is important for hospice organizations planning operational and financial strategy.

Article Sections

  1. Proposed 2015 hospice payment update

    Discusses the proposed annual hospice payment update and the factors CMS says are affecting the overall reimbursement outlook. It also notes the potential impact of broader federal payment adjustments.

  2. Hospice aggregate cap and overpayment timing

    Covers the proposed hospice aggregate cap for the fiscal year and CMS’s suggested changes to the timing of cap determinations and overpayment remittance. The section also addresses the agency’s stated rationale for moving the process earlier.

  3. Claims data and cost report changes for future reform

    Explains CMS’s focus on collecting additional hospice claims and cost report information to support future payment reform analysis. It also describes the general policy areas CMS is studying before proceeding further.

What You Will Learn

  • How CMS is approaching the proposed hospice payment update for 2015
  • What changes CMS is considering for hospice cap determination timing and overpayment handling
  • Why CMS is gathering additional hospice claims and cost report data before advancing payment reform
  • What broader hospice payment reform concepts CMS and policymakers are evaluating

Who Should Read This

  • Hospice providers
  • Medicare reimbursement professionals
  • Revenue cycle teams
  • Compliance staff
  • Health policy analysts
  • Coding and billing managers

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