Tag intelligence

Hospice reimbursement alerts

Reimbursement alerts filtered by specialty and region tags for faster analysis across coding, compliance, and revenue integrity.

Critical tag risk

Overview

15 alerts match the tag Hospice. Review high-value policy alerts and the underlying claims guidance that matters.

Quick stats

Alert count

15

Distinct policy codes

15

Average signal score

62

Related codes

Signal breakdown

15 shown · 15 total in platform

Risk: Critical
4

Critical

27%

3

High

20%

8

Routine

53%

0

Low

0%

New this month

+3

alerts added in last 30 days

Effective soon

3

policies effective within 30 days

CMS Transmittal R13944CP: Reporting Face-to-Face Encounter Conducted by a Hospice Physician or Hospice Nurse Practitioner…

Policy CMS-T-R13944CPHospice

Critical

This 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-R13924CPHospice

Critical

This 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-R13872CPHospice

Critical

This 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-2026-15686Hospice

High

CMS 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-L33393Hospice

High

This 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-R13860CPHospice

Critical

This 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-2026-06604Hospice

Routine

The 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-2025-14782Hospice

Routine

The 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-2025-06317Hospice

Routine

The 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-2024-16910Hospice

Routine

The 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-2024-06921Hospice

Routine

The 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-2023-16116Hospice

Routine

The 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-2023-06769Hospice

Routine

The 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-L34538Hospice

High

The 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 2026-06604Hospice

Routine

This 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