CMS Transmittal R13944CP: Reporting Face-to-Face Encounter Conducted by a Hospice Physician or Hospice Nurse Practitioner…
Policy CMS-T-R13944CP • Hospice
CriticalThis transmittal addresses reporting requirements for face-to-face (F2F) encounters conducted by a hospice physician or hospice nurse practitioner, effective January 4, 2027. Billing teams must update
CMS Transmittal R13924CP: Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for Fiscal…
Policy CMS-T-R13924CP • Hospice
CriticalThis transmittal updates Hospice payment rates, the hospice cap amount, wage index values, and the Hospice Pricer effective for the new fiscal year beginning October 1, 2026. Billing teams must ensure
CMS Transmittal R13872CP: Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for Fiscal…
Policy CMS-T-R13872CP • Hospice
CriticalThis transmittal updates Hospice payment rates, the hospice aggregate cap amount, wage index values, and the Hospice Pricer effective for the new fiscal year beginning October 1, 2026. Billing teams m
Federal Register Final Rule: Medicare Program; FY 2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
Policy FR-2026-15686 • Hospice
HighCMS finalizes FY 2027 hospice payment rate updates, wage index adjustments, and aggregate cap amount changes effective October 1, 2026. The rule mandates hospices provide the election statement addend
LCD L33393: Hospice - Determining Terminal Status — Wellpoint Federal
Policy LCD-L33393 • Hospice
HighThis active Final LCD (L33393) from Wellpoint Federal governs hospice eligibility determinations for terminal status under the HHH MAC contract, effective April 1, 2026. It establishes the clinical cr
CMS Transmittal R13860CP: Reporting Face-to-Face Encounter Conducted by a Hospice Physician or Hospice Nurse Practitioner…
Policy CMS-T-R13860CP • Hospice
CriticalThis transmittal (CR 14495) updates claims processing instructions for reporting face-to-face (F2F) encounter requirements conducted by a hospice physician or hospice nurse practitioner. Billing teams
Federal Register Proposed Rule: Medicare Program; FY 2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
Policy FR-2026-06604 • Hospice
RoutineThe proposed rule for FY 2027 updates the hospice wage index and payment rates, which may impact reimbursement amounts for hospice providers. Additionally, new requirements for hospices to provide a h
Federal Register Final Rule: Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
Policy FR-2025-14782 • Hospice
RoutineThe FY 2026 Hospice Wage Index and Payment Rate Update will adjust reimbursement rates, impacting the overall funding available to hospice providers. Changes to admission regulations and face-to-face
Federal Register Proposed Rule: Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
Policy FR-2025-06317 • Hospice
RoutineThe proposed rule for FY 2026 introduces updates to the hospice wage index and payment rates, potentially impacting reimbursement levels for hospice providers. Additionally, changes to admission regul
Federal Register Final Rule: Medicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements
Policy FR-2024-16910 • Hospice
RoutineThe FY 2025 updates to the hospice wage index and payment rates will have significant implications for reimbursement rates within the hospice sector. The adjustments in the aggregate cap amount and th
Federal Register Proposed Rule: Medicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements
Policy FR-2024-06921 • Hospice
RoutineThe proposed rule introduces updates to the hospice wage index and payment rates for FY 2025, which will affect reimbursement for hospice services. Enhancements to the Hospice Quality Reporting Progra
Federal Register Final Rule: Medicare Program; FY 2024 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice Quality Reporting Program Requirements, and Hospice Certifying Physician Provider Enrollment Requirements
Policy FR-2023-16116 • Hospice
RoutineThe FY 2024 Hospice Wage Index and Payment Rate Update introduces changes that will affect reimbursement rates and guidelines for hospice providers. Increased transparency and quality reporting measur
Federal Register Proposed Rule: Medicare Program; FY 2024 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice Quality Reporting Program Requirements, and Hospice Certifying Physician Provider Enrollment Requirements
Policy FR-2023-06769 • Hospice
RoutineThe FY 2024 updates to the hospice wage index and payment rates will significantly impact reimbursement rates for hospice services, potentially leading to alterations in how providers manage care effi
LCD L34538: Hospice Determining Terminal Status — CGS
Policy LCD-L34538 • Hospice
HighThe LCD on Hospice Determining Terminal Status will impact billing practices by clarifying eligibility criteria for hospice services. This could lead to adjustments in claims submission and documentat
Medicare Program; FY 2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
Policy 2026-06604 • Hospice
RoutineThis proposed rule would update the hospice wage index, payment rates, and aggregate cap amount for Fiscal Year (FY) 2027. This proposed rule also includes an a