Regulatory Updates

State: All

Date Proposed : 04/1/2021

Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Pharmacy

In a recent report, the Office of Inspector General (OIG) determined that Medicare improperly paid suppliers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items provided during inpatient stays. Review the Medicare DMEPOS improper inpatient payments fact sheet to help you bill correctly

State: All

Date Proposed : 06/8/2021

Program: Home Infusion Therapy

To establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes. US H 4942

State: All

Date Proposed : 12/10/2020

Program: Renal Dialysis

MLN fact sheet in reference to Hospice Aide Services: Enhancing RN supervision.

State: All

Program: Renal Dialysis

Under Article Text added Documentation Requirements section and corresponding verbiage and revised verbiage in #4 to read “The medical record documentation must support the medical necessity of the services as stated in the related policy”

State: All

Date Proposed : 10/5/2020

Program: Hospice

Extraordinary Circumstances as Related to Hospice Staffing Requirements: A hospice may use contracted staff, if necessary, to supplement hospice employees in order to meet the needs of patients under extraordinary or other non-routine circumstances. The regulation allows the hospice to utilize these services temporarily without a waiver or exemption from the State Survey Agency (SA) or the CMS Location.

State: All

Date Proposed : 11/6/2020

Date Effective : 10/1/2020

Program: Hospice

The Centers for Medicare & Medicaid Services (CMS) is making changes to the Medicare Benefit Policy Manual to include the modifications to the election statement and the requirements for the hospice election statement addendum, effective for hospice elections beginning on or after October 1, 2020.