Hospice: Additional Data Reporting Required by CMS
The Centers for Medicare and Medicaid Services (CMS) released a Medicare Learning Network notice based on change request (CR) 8358, which requires additional claim data reporting for hospices to support hospice payment reform as authorized by Section 3132(a) of the Affordable Care Act.
Hospice organizations shall report line-item visit data for hospice staff providing general inpatient care (GIP) to hospice patients in skilled nursing facilities or in hospitals for claims with dates of service on or after April 1, 2014.
Hospices may voluntarily begin this reporting as of Jan. 1, 2014.
This includes visits by the following, on a line-item basis, with visit and visit length reported as is done for the home levels of care:
- Hospice nurses.
- Aides.
- Social workers.
- Physical therapists.
- Occupational therapists.
- Speech-language pathologists.
Make sure that your billing staff is aware of these changes.