CMS Issues Hospice Transmittal Updating Rates, Cap, Wage, Index & Pricer For FY2016

Posted on Thursday, September 10, 2015 2:19 PM

CMS has issued Change Request 9301/Transmittal 3345 directing Medicare’s Administrative Contractors (MACs) to apply the new payment rates for fiscal year (FY) 2016, including a single Routine Home Care (RHC) rate for care provided October 1 through December 31, 2015 and two-tiered payment system for RHC, and the Service Intensity Add-on (SIA) beginning January 1, 2016. Additionally, CR9301 provides the aggregate cap value for 2015 ($27,382.63) and addresses the blended transitional wage index values to be used during FY2016, including identification of core-based statistical areas (CBSAs) for which a special 50xxx code must be used in the billing during the wage index transition year. A MLN Matters article related to CR301 is available here. This is the second CR released about the FY2016 hospice final rule. The first CR pertaining to the final rule is CR 9201. Click here to read more.

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