Posted on Friday, August 3, 2018 5:32 PM
On August 1, 2019, CMS issued its final rule for FY 2019 for Medicare payment rates and the wage index for hospices that serve Medicare beneficiaries. In this rule, they also update the hospice quality reporting requirements.
Under existing law, the hospice update percentage for FY2019 is calculated using the hospital market basket update of 2.9 percent and reducing it by Affordable Care Act (ACA)-enacted adjustments (a productivity adjustment for FY2019 calculated at 0.8 percentage point and an additional 0.3 percentage point reduction specific to hospice providers). Taking these factors into consideration, the hospice payment update for FY2019 has been finalized at 1.8 percent.
The following is chart from NAHC shows the final payment rates for FY 2019:
Code |
Description |
FY2019 Proposed Payment Rates |
FY2019 Final Rates |
651 |
RHC (Routine Home Care) Tier 1 (days 1 – 60) |
$196.25 |
$196.25 |
651 |
RHC Tier 2 (days 61+) |
$154.21 |
$154.21 |
652 |
CHC (Continuous Home Care) (full rate=24 hours of care) |
$998.77 ($41.62 hourly rate) |
$997.38 ($41.56 hourly rate) |
655 |
IRC (Inpatient Respite) |
$176.01 |
$176.01 |
656 |
GIP (General Inpatient) |
$758.07 |
$758.07 |
The following table provides the breakdown of the labor and non-labor adjusted portions of the payment rates (these have remained the same for several years):
LABOR |
NON-LABOR |
|
RHC |
68.71 |
31.29 |
CHC |
68.71 |
31.29 |
GIP |
64.01 |
35.99 |
IRC (Respite) |
54.13 |
45.87 |
Also, the new rule finalizes the long-anticipated change to allow Physician Assistants (PA) to serve as Attending Physicians. For this purpose, a PA is a professional who has graduated from an accredited physician assistant educational program who performs such services as he or she is legally authorized to perform… in accordance with state law…and who meets the training, education, and experience requirements as the Secretary may prescribe.
Click here for the press release.
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