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.
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.
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.
On Tuesday, March 17, the HHS Office of Inspector General issued their semi-annual report on unimplemented OIG recommendations. This year, the OIG recommendation to establish a transfer payment policy for hospitals for early discharges to hospice care was featured as one of the top 20 unimplemented recommendations.
mumms Silver Conference has announce their 2015 agenda at a glance. mumms Silver Conference will be unlike any of mumms prior conferences and will focus entirely on working in Hummingbird. Featured agenda topics focus on the modules and workflow in Hummingbird and how you can use Hummingbird's intelligence and reporting features to optimize your hospice.