POSTED ON MONDAY, APRIL 13, 2020 12:50 PM
CMS has proposed a rule is proposing a 2.6% payment adjustment, totaling an additional $580 million for the Medicare Hospice Benefit. This new rule would also raise the annual payment cap to $30,743.86, up from the 2020 cap of $29,964.78, to reflect the payment increase.
“The proposed 2.6 percent hospice payment update for FY 2021 is based on an estimated 3.0 percent inpatient hospital market basket update reduced by the multifactor productivity adjustment (0.4 percentage points.),” the agency indicated. “Hospices that fail to meet quality reporting requirements receive a 2-percentage point reduction to the annual market basket update for the year.”
The cap is the most a hospice can collect from Medicare in a year, For Fiscal Year 2020, the cap is $29,965 per patient. About 14% of hospices exceeded the cap in 2017, according to MedPAC.
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