Hospice Regulations: Expect Hospice Bookkeeping Nightmares to Continue

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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 reviews current hospice regulatory and reimbursement developments discussed in a CMS Open Door Forum and related contractor updates. It focuses on Medicare payment glitches affecting hospice claims, the rollout of Hospice Compare, the timing of CAHPS public reporting, and proposed updates to the Hospice Item Set for future quality and assessment use. The content is relevant to hospice providers, billing staff, compliance teams, and others tracking CMS policy changes in post-acute care.

Why This Topic Matters

Hospice organizations need to monitor Medicare payment and reporting changes because system issues can affect claims, cash flow, and compliance operations. The article also highlights how CMS is evolving hospice quality measurement and assessment tools, which may influence future reporting and payment processes.

What You Will Learn

  • Current hospice Medicare payment issues discussed by CMS and MACs
  • Updates on hospice quality reporting and the Hospice Compare timeline
  • Proposed changes to hospice assessment tools and their broader role in post-acute care
  • How CMS is monitoring hospice behavior in response to payment reform

Who Should Read This

  • Hospice providers
  • Medical billers and coders
  • Revenue cycle staff
  • Compliance professionals
  • Post-acute care administrators

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