Hospice Reimbursement: Get the Scoop on 2022 Hospice Payment Rate Proposals

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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 explains a CMS proposed rule affecting FY 2022 hospice payment rates, the hospice cap amount, and changes to the way labor shares are calculated for different hospice levels of care. It is relevant to hospice administrators, billing and reimbursement staff, consultants, and compliance teams who need to understand proposed Medicare payment updates, quality reporting implications, and the comment period for the rule.

Why This Topic Matters

Hospice organizations may see changes in overall payment updates, cap amounts, and wage-index-related impacts that can vary by provider size, location, and level of care. Understanding the proposal helps agencies assess financial effects and prepare comments before the deadline.

Article Sections

  1. Proposed FY 2022 hospice payment update

    Summarizes the proposed annual payment update for hospice services and the broader Medicare payment context. It also notes that final amounts may change before rule publication.

  2. Hospice cap amount and related considerations

    Covers the proposed annual hospice cap amount and discusses how it is presented in the rule. The section also notes general concerns raised by hospice organizations.

  3. High Wage Index Hospices Beware

    Explains the proposed revision of labor share methodology for different hospice levels of care using Medicare cost report data. It also discusses sampling, provider characteristics, and possible effects on individual agencies.

  4. Deadline

    Provides the public comment timeframe for the proposed rule and encourages review and feedback. It also points readers to the rule and related CMS resources.

What You Will Learn

  • The scope of the CMS proposed rule affecting hospice reimbursement for FY 2022
  • How the proposed payment update and hospice cap amount are being described in the rule
  • What categories of methodology changes are being considered for labor-share calculations
  • Why provider size, region, and wage index could matter for individual hospice organizations
  • When comments on the proposal are due and why stakeholder feedback matters

Who Should Read This

  • Hospice administrators
  • Billing and reimbursement professionals
  • Compliance staff
  • Hospice consultants
  • Palliative care organizations
  • Healthcare finance teams

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