tci Medicare Compliance & Reimbursement - 2009 Issue 9

HOSPICE: CMS Proposes Hospice Pay Cuts and More Physician Documentation

Cross your fingers that docs write a compelling essay under new guideline. Hospices that started receiving higher Medicare payment rates this month thanks to the economic stimulus bill won't have long to enjoy the increase. The Centers for Medicare & Medicaid Services is proposing a 1.1 percent cut to hospice payment rates beginning Oct. 1. The cut would be the result of eliminating 75 percent of the budget neutrality adjustment factor (BNAF) in the hospice wage index. CMS originally planned to phase out 25 percent of the BNAF in 2009, 50 percent in 2010, and the remaining 25...

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