CMS Increases Reporting Requirements for Hospice Providers Serving SNFs
Tuesday, August 6, 2013
by: VNAA Policy Team

Section: Public Policy and Advocacy

On July 26, the Centers for Medicare and Medicaid Services (CMS) released new guidelines for hospice workers who provide care for residents of skilled nursing facilities (SNFs) or hospitals. These providers will now be required to provide more detailed line-item visit data for general inpatient care on claims starting next year. Hospice providers can begin voluntarily submitting this information with claims starting January 1, 2014, and the reporting will be mandatory as of April 1, 2014.

Nurses, aides, social workers, physical and occupational therapists, and speech-language pathologists are all expected to report this new line-item visit data with visit and visit length reported as is done for the home levels of care. Over the past several years, other agencies including the Medicare Payment Advisory Commission (MedPAC), the Office of Inspector General (OIG) and the Government Accountability Office (GAO) have all encouraged CMS to collect additional data in preparation for the hospice payment reform mandated by the Affordable Care Act. CMS intends to use this data to revise hospice care payments.

A new Medicare Learning Network document summarizes coding for the new claims reporting. There are codes for general inpatient care, post-mortem visits, injectable drugs, non-injectable prescriptions and infusion pumps. Click here to read the full article.

Click here to access the complete CMS transmittal.
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