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CMS Releases FY 2020 Hospice Proposed Rule

CMS Releases FY 2020 Hospice Proposed Rule

On Friday, April 19th, CMS released the FY 2020 Hospice Proposed Rule. The comment period closes June 18, 2019.

Highlights include:

      • CMS proposes an overall net increase of 2.7% or $540  million (3.2% market basket increase, offset by a 0.5% productivity reduction).
      • The Rule also rebases (i.e., increases) the continuous home care (CHC), general inpatient care (GIP), and the inpatient respite care (IRC) per diem payment rates in a budget-neutral manner to more closely align Medicare payments with the costs of providing care; and subsequently decreases routine home care (RHC) payment by 2.71% to ensure overall budget neutrality.
      • CMS proposes to modify the hospice election statement by content modifications and by requiring an addendum to “provide greater coverage transparency and safeguard patient rights.”
      • The purpose of the proposed addendum, entitled “Patient Notification of Hospice Non-Covered Items, Services, and Drugs,” is two-fold:
          • To inform beneficiaries and their representatives of conditions, items, services, and drugs that may not be covered under the hospice benefit to help hospice patients and their families make informed treatment decisions
          • To facilitate communication and benefit coordination between hospices and non-hospice providers

For more information, read Casamba’s summary of the Proposed Rule.

For the full text, please click here.

Holly Hester

Holly Hester is Casamba’s Senior Vice President of Compliance & Education, as well as the Compliance Officer. She provides regulatory guidance and interpretation, clinical programming and content development, education and training steerage, and compliance support for the company. As a physical therapist for more than 20 years, Holly has multi-venue clinical and management experience, giving her a unique perspective on the integration of compliance and training with therapy service delivery and clinical practice.
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