Check out the latest updates on Medicare Hospice Reimbursement for 2020 here.
As with many medical costs and reimbursements, hospice reimbursement rates have changed over the past fiscal year. Here are some of the rate changes, prognosis indications and other changes to the reimbursement landscape of hospice care in 2018.
Rate Changes from FY2017 to FY2108
Below is a comparison of rates from Medicare Reimbursement rates for FY2017 and FY2018 as provided by the Centers for Medicare and Medicaid Services (CMS).
Once again, reimbursement is highly dependent on compliance with reporting standards. You may have already experienced the changes from the FY2017 rates that ended on Sept. 30, 2017, the FY2018 rates went into effect on Oct. 1, 2017, without any rate increases for hospice physician services.
The current base payment rates include:
Diagnosis vs. Prognosis Updates
Debate continues on the difference between multiple condition diagnosis and overall patient prognosis. Medicare reimbursement focuses primarily on the criteria of prognosis. Among other details, a patient will not meet the conditions for hospice reimbursement care unless:
Modern Medicine Changes the Hospice Landscape
As noted previously, hospice care has changed significantly over time. Simply put, as medicine advances, lifespans increase. While hospice patients have a limited projected lifespan, the amount of time spent in hospice care has also increased. Along with this increase in lifespan is also an increase in the number of conditions treated by hospice care. This expansion has increased care costs by an average of $1 billion per year in the United States.
Concordance Healthcare Solutions has been serving the hospice industry for many years. Click here to learn more about our unique solutions that address the rising costs of providing hospice care.