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Hospice Center

  • The Centers for Medicare & Medicaid Services recently launched an initiative to develop innovative payment systems to improve care options for beneficiaries by allowing greater beneficiary access to comfort and rehabilitative care in Medicare and Medicaid.  The Medicare Care Choices Model provides a new option for Medicare beneficiaries with advanced cancers, chronic obstructive pulmonary disease, congestive heart failure and HIV/AIDS who meet hospice eligibility requirements under the Medicare hospice benefit, to receive palliative care services from certain hospice providers while concurrently receiving services provided by their curative care providers.  The Medicare Care Choices Model will test improvements to certain Medicare beneficiaries’ quality of life while they are receiving both curative and palliative care.  Eligible hospice organizations interested in participating in this model must submit application materials no later than June 19, 2014. For application materials and additional information, please visit the Medicare Care Choices Model web page.
  • Hospice providers should ensure that their information on the hospice list is current and complete.  Please submit any required changes electronically to PECOS at: .
  • CR 8358 entitled “Additional Data Reporting Requirements for Hospice Claims”  was revised on January 31, 2014 to provide clarifying information and examples in the policy section, and to make technical corrections to remove references to legacy contractors in the Business Requirements Table and Funding sections, and to make technical corrections to the manual text. All other information remains the same.  
  • On Friday July 26th, CMS issued CR 8358, entitled “Additional Data Reporting Requirements for Hospice Claims,” which will be effective for voluntary reporting as of January 1, 2014, and for required reporting as of April 1, 2014. This CR requires additional claims data reporting for hospices to support hospice payment form as authorized by the Affordable Care Act of 2010, section 3132(a). 

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