Our legal team offers more than legal counsel. We’re committed to advocate for you as an industry partner, to monitor updates and foster learning. Along with customized solutions, our clients appreciate 小黄鸭视频’s Hospice Insights , blog posts, webinars, legal alerts and other healthcare and hospice law research. We’ve assembled the following bank of critical hospice-specific resources for easy reference. If you have questions about these materials or any hospice law matter, contact our Hospice & Palliative Care Team.
Key Federal Hospice Laws, Regulations and Guidance
- Rule Commentary from the Federal Register - 2020s
- Hospice Wage Index Rules
- (Final) (September 29, 2022)
Keywords: Hospice Quality Reporting Program; Hospice Outcomes and Patient Evaluation; health equity; survey and enforcement procedures
- (Final) (August 4, 2021)
Keywords: election statement addendum; COVID-19 waivers; Hospice Quality Reporting Program
- (Final) (August 4, 2020)
Keywords: commentary about election statement and addendum commentary
- Other Rule Commentary
- (May 8, 2020)
Keywords: audio-only telephone evaluation and management services
- (April 6, 2020)
Keywords: virtual visits for routine home care; telehealth for face-to-face encounters
- Rule Commentary from the Federal Register - 2010s
- Hospice Wage Index Rules
- (August 6, 2019)
- Keywords: election statement and addendum; rate rebasing
- (August 6, 2018)
Keywords: physician assistants included as attending physicians
- (August 4, 2017)
Keywords: commentary about clinical information sources for certification
- (August 5, 2016)
Keywords: commentary about Medicare Care Choices Model
- (August 6, 2015)
Keywords: SIA payments; two rates for RHC; federal FY for inpatient and aggregate cap years; commentary on diagnosis reporting on claims
- (August 22, 2014)
Keywords: attending physician identified on election statement; change of attending physician; notice of election filing; notice of termination/revocation filing; expedited self-reporting of aggregate cap determinations; hospice quality reporting program; commentary on Medicare hospice benefit coverage, clinical eligibility determinations, and coordination of Part D drug coverage
- (August 7, 2013)
Keywords: commentary on diagnosis reporting on claims; commentary on Hospice Item Set and CAHPS® survey data collection
- (July 27, 2012)
Keywords: commentary on diagnosis reporting on claims
- (August 4, 2011)
Keywords: aggregate cap calculation methodologies; face-to-face attestation content for nurse practitioners and non-certifying hospice physicians; timeframe for face-to-face encounters; commentary on use of LCDs, definition of hospice “employee,” and hospice quality reporting program
- (July 22, 2010)
- Other Rule Commentary
- (September 10, 2019)
Keywords: Medicare requirements for disclosure of affiliations with other providers
- (February 12, 2016)
Keywords: reporting and returning Medicare overpayments
- (June 27, 2013)
Keywords: requirements for facilities that contract for hospice services
- (November 8, 2012)
Keywords: commentary on hospice quality reporting program
- (February 2, 2011)
Keywords: provider enrollment, screening, and termination from Medicare and Medicaid; recovery of overpayments and payment suspension
- (November 17, 2010)
Keywords: face-to-face encounter and attestation requirement; requirement for certifications to specify benefit period dates
- Rule Commentary from the Federal Register - 2000s
- Hospice Wage Index Rules
- (August 6, 2009)
Keywords: physician narrative requirement; clarification on computing inpatient cap; commentary on aggregate cap calculation
- (August 8, 2008)
- (August 31, 2007)
- (September 1, 2006)
- (August 4, 2005)
- (August 27, 2004)
- (September 30, 2003)
- (August 30, 2002)
- (September 27, 2001)
- (October 6, 2000)
- Other Rule Commentary
- (June 5, 2008)
Keywords: comprehensive revisions to Medicare hospice conditions of participation, including requirements for facility and hospital arrangements
- (November 22, 2005)
- (November 15, 2004)
- Rule Commentary from the Federal Register - 1990s
- (December 20, 1994)
- (August 12, 1992)*
- (December 11, 1990)*
- Rule Commentary from the Federal Register - 1980s
- The following is a selection of the key CMS manual chapters relating to hospices:
* Used with permission from HeinOnline.
Office of Inspector General (OIG) and Department of Justice (DOJ) Materials
- Compliance guidance
- (June 2020)
- (April 2019)
- (2017)
- (January 17, 2017)
- (September 9, 2015)
- (April 20, 2015)
- (2013)
- (October 5, 1999)
- Fraud alerts
- (June 9, 2015)
- (March 1998)
- Work plans
- (2021)
- (2021)
- (October 2020)
- (March 2020)
- (October 2019)
- (June 2018)
- (2017)
- (2016)
- (2015)
- (2014)
- (2013)
- (2012)
- (2011)
- (2010)
- (2009)
- (2008)
- (2007)
- (2006)
- (2005)
- (2004)
- (2003)
- (2002)
- (2001)
- (2000)
- (1999)
- (1998)
- (1997)
- Reports
- (November 2019)
- (August 2019)
- (July 2019)
- (July 2019)
- (April 1 - September 30, 2018)
- (July 2018)
- (September 2017)
- (September 2016)
- (2016 report)
- (2015 report)
- (2015 report)
- (2014 report)
- (2013 report)
- (2013 report)
- (2011 report)
- (2008 report)
- (1998 report)
- (1998 report)
- (1997 report)
- (1997 report)
- (1997 report)
- (1996 report)
- (1996 report)
- (1995 report)
- Bulletins
- Advisory Opinions
- (July 2016)
- (November 2012)
- (December 2004)
- (2001)
Medicare Contractor Information
Federal Anti-Kickback Statute and Safe Harbors
- The following is a selection of commonly used safe harbors to the federal Anti-Kickback Statute:
- gpo.gov -
- (as of 2.12.21)
- (as of 2.12.21)
- (as of 2.12.21)
- (including small business investment interests) (as of 2.12.21)
- (as of 2.12.21)
- (as of 2.12.21)
Hospice False Claims Act (FCA) Resources
- Settlements
- (July 2020)
- (March 2020)
- (December 2017)
- (October 2017)
- (August 2017)
- (July 2017)
- (July 2017)
- (July 2017)
- (June 2017)
- (April 2017)
- (July 2016)
- (December 2015)
- (November 2015)
- (October 2015)
- (October 2015)
- (September 2015)
- Key cases
- (9th Cir., March 23, 2020)
- (3d Cir., March 4, 2020)
- (11th Cir., Sept. 9, 2019)
- (6th Cir., June 25, 2018)
- (10th Cir., July 9, 2018)
- (M.D. Fla. Jan. 11, 2018)
- (M.D. Fla. Sept. 22, 2016)
- , (U.S. Supreme Court, June 20, 2016)
- , (N.D. Tex. June 20, 2016)
MedPAC and Other Government Reports
- MedPAC and GAO reports
- - Spending in the Last Year of Life and the Impact of Hospice on Medicare Outlays
- Abt reports