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CMS Rescinds Change Request 9114

CMS has rescinded change request 9114 related to adding a physicians NPI number on the election statement signed by new patients. The change request was rescinded on April 17, 2015 in response to concerns raised by the hospice community. Please note, the election statement is different than the Notice of Election (NOE). NOE's still require a physician NPI number. 

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CMS updates FAQ on Hospice CAHPS Surveys

CMS has updated one of the questions in their Hospcie CAHPS FAQ (available here). The question provides clarification on determining eligibility of decedents and caregivers for participation in CAHPS surveys.  

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CMS updates to CR 8443: Review Timeliness Requirements for Prepay Review

CMS recently issued an update to Change Request 8443: Review Timeliness Requirements for Prepay Review. CR 8443 will change the number of days MACs have to conduct complex reviews from 60 days to 30 days. 

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PEPPER Report Released

The 2015 Hospice Program for Evaluating Payment Patterns Electronic Report (PEPPER) has been released. These reports provide hospices provider-specific Medicare data to help facilities identify services/discharges that are vulnerable to impropper payment. They are provided free of charge through a contract with CMS. The report includes statisics through September 2014 and can be downloaded through the PEPPER Resource Portal

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Examples of Granted and Denied NOE Exemption Requests

Under CMS Change Request 8877, hospices must submit an NOE for a patient within five days of that patients Medicare admission. There are four exceptions that Medicare allows hospice to use to appeal a late filing penalty. CGS has posted examples of granted and denied Notice of Election (NOE) exemptions requests in order to clarify when hospices should appeal claims.  

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