CMS Pilot to Conduct Medical Reviews of Hospice Stays Longer than 90 Days

Posted July 19, 2023

CMS is conducting a small pilot program for post-payment reviews of hospice stays that exceed 90 days.  The agency has contracted with Noridian Healthcare Solutions, LLC as its Supplemental Medical Review Contractor (SMRC). Noridian will perform the reviews and submit findings to CMS.

“CMS internal data has identified a potential area of vulnerability beginning with the second benefit period, or 91st day in hospice,” Noridian indicated in an announcement. “The SMRC was tasked to perform data analysis and conduct medical record review activities.”

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