Course | Basic | Medicare Payment and Reimbursement
In this course we will address scheduling processes, including<div><ul><li>Patient identification</li><li>Requested service</li><li>Medical necessity screening</li><li>Medicare Advance Beneficiary Notice of Noncoverage processing</li><li>Pa...
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Course | Overview | Medicare Payment and Reimbursement
This course provides a brief history and overview of Medicare and Medicaid. It describes government organizations that regulate and administer this program. This course also discusses Medicare reimbursement. In addition, it highlights recen...
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Course | Intermediate | Medicare Payment and Reimbursement
This course provides an overview of the prospective payment systems used in the Medicare program and as well as Medicare fee schedules. This course provides a general discussion and overview of Medicare reimbursement under the Inpatient Pro...
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Course | Intermediate | Medicare Payment and Reimbursement
This course provides a general discussion and overview of reimbursement provided by Medicare under the outpatient prospective payment system. It also discusses the use of ambulatory payment classifications in the outpatient prospective paym...
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On Demand Webinar | Intermediate | Medicare Payment and Reimbursement
As the senior population continues to outpace the relative growth of the general population, and Medicare Advantage is accounting for about one-third (and growing every year) of all new Medicare eligible enrollees, providers are increasingl...
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Fact Sheet | Medicare Payment and Reimbursement

FY2019 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements

Fact Sheet | Medicare Payment and Reimbursement

FY2019 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements

This document summarizes the FY2019 proposed rule updating the hospice wage index and payment rates.

HFMA Executive Summary

For more information on these highlights from CMS’s proposed rule on Hospice Wage Index and Payment Rate Updates, download a full summary of the rule

Impact
CMS estimates the overall impact of the proposed rule will be an increase of $340 million (1.8%) in Medicare payments to hospices during FY2019.

Regulatory Change 
CMS proposes expanding the definition of attending physicians for Medicare hospice beneficiaries to include physician assistants (PAs). Effective January 1, 2019, Medicare will pay services provided by PAs to Medicare beneficiaries who elect the hospice benefit and select a PA as their attending physician.

Change to Hospice Quality Reporting Program (HQRP)
CMS proposes an eighth factor to consider when evaluating measures for removal from the HQRP measure set: the costs associated with a measure outweigh the benefit of its continued use in the program.

Additions to Hospice Compare Website
CMS proposes adding the HIS-based Hospice Comprehensive Assessment Measure (NQF#3235) and Hospice Visits When Death Is Imminent Measure Pair.  

Request for Information
CMS requests suggestions for consideration in the Conditions of Participation related to ways to achieve better interoperability or to improve the sharing of healthcare data between providers. 

Comments on the proposed rule are due by June 26, 2018.


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