What is a MAC?
A Medicare Administrative Contractor (MAC) is a private health care insurer that has been awarded a geographic jurisdiction to process Medicare Part A and Part B medical claims for Fee For Service (FFS) beneficiaries.CMS relies on these contractors to serve as the...
How to Submit a Notice of Election
What is a Notice of Election? When a Medicare beneficiary elects hospice services, the hospice must complete an election notice with the beneficiary and file a Notice of Election (NOE) with Medicare. When must a Notice of Election be submitted? A hospice notice...
Unusual Circumstances: Face to Face Encounters
Prior to the third hospice benefit period, and prior to each subsequent benefit period, a hospice physician or nurse practitioner is required to have a face to face encounter with the hospice patient to recertify that the patient continues to be Medicare eligible for...
What is Face to Face Recertification?
A hospice face to face encounter is a step in patient recertification beginning with the third benefit period and each benefit period thereafter. The goal of hospice face to face patient encounter is to encourage greater involvement of the physician in the care of...
Core Services: Using Employees versus Contractors
Hospice Conditions of Participation - employees versus contractors Hospice conditions of participation require that almost all hospice core services are delivered by hospice agency employees and may not be delivered by contractors. Hospice core services include: ...
Navigating the Hospice Initial Accreditation Process
What is hospice initial accreditation and why is it important? Hospice initial accreditation is a way to ensure delivery of consistent and high quality services across all accredited hospice agencies. The accreditation program ensures that the hospice agency is fully...
Do you have a reportable data breach?
Concerned that you have a data breach? Not everything that looks like a data breach is, in fact, a reportable data breach. Before you report a data disclosure to the US Department of Health and Human Services Office for Civil Rights (OCR), you should confirm...