NHPCO NewsLine Fall 2020 - 8
continued
Table 2: FY 2021 Hospice Payment Rates WITH NO Quality Reporting
FY 2020
Payment Rates
SIA Budget
Neutrality
Factor
Wage Index
Standardization
Factor
FY 2021 Hospice
Payment Update
of 2.0% minus 2
percentage
points = +0.4%
FY 2021
Payment Rates
Code
Description
651
Routine Home
Care (Days 1-60)
$194.50
1.0002
1.0002
X 1.004
$195.36
651
Routine Home
Care (Days 61 +)
$153.72
1.0001
1.0004
X 1.004
$154.42
652
Continuous Home $1,395.63 ($58.15/
Care (Full rate =
hourly rate)
24 hours of care)
1.0023
X 1.004
$1,404.44
($58.52/hourly
rate)
655
Inpatient Respite
Care
$450.10
1.0004
X 1.004
$452.08
656
General Inpatient
Care
$1,021.25
0.9999
X 1.004
$1,025.23
Source: Table 7 and 8, FY 2021 Hospice Wage Index Final Rule, page 36.
NHPCO State/County Rate Charts
NHPCO has prepared the FY 2021 Hospice State/County Rate Charts for
your reference (members will find these charts on the Billing and
Reimbursement - Medicare page of the website). The charts include the
rates for all levels of care for every county in the country, based on the FY
2021 final rates and final wage index values published by CMS on July 31.
NHPCO has also added a tab for "How to Use This Chart" for reference.
The charts include
the rates for all
levels of care for
every county in the
country, based on
the FY 2021 final
rates...
Service Intensity Add-on Budget Neutrality Adjustment
Factor (SBNF)
The proposed rule recommended the elimination of the SBNF in this
year's final rule because of very minor SBNF adjustments to meet
budget neutrality goals. Commenters suggested that there could be an
increased number of visits in the last 7 days of life, raising the use of
SIA and impacting the SBNF. CMS announced that they will continue
to analyze data on visits in the last 7 days of life and if, there continues
to be minor SBNF adjustments, could proposed remove the SBNF in
future rulemaking.
Cap Amount for FY 2021
For accounting years that end after September 30, 2016 and before
October 1, 2025, the hospice cap is updated by the hospice payment
8
Newsline / Fall 2020
https://s3.amazonaws.com/public-inspection.federalregister.gov/2020-16991.pdf
https://www.nhpco.org/regulatory-and-quality/regulatory/billing-reimbursement/reimbursement-medicare-2
NHPCO NewsLine Fall 2020
Table of Contents for the Digital Edition of NHPCO NewsLine Fall 2020
AXXESS Hospice (display ad)
Table of Contents
Virtual Interdisciplinary Conference (display ad)
Edo's Message
FY2021 Hospice Wage Index (feature article)
Virtual Conference Thank You (display ad 1/2 page)
Q&A on Election Statement
Quality Care in the time of COVID-19
Quality Connections
NHPCO Releases Facts & Figures Report
Seeing the World
NHPCO Career Center (display ad 1/2 page)
Weatherbee Resources (display ad 1/2 page)
NHF Gala Sponsor Thanks
Virtual Gala Recap
Highlight Value of Pediatric Care
State Pediatric Survey - Data Collection
We Honor Veterans Spotlight
New Courses Ondemand
New Podcast
Lighthouse of Hope (display ad 1/2 page)
Diversity Advisory Council Paper
AXXESS Hospice (display ad #2)
back cover
NHPCO NewsLine Fall 2020 - intro
NHPCO NewsLine Fall 2020 - 1
NHPCO NewsLine Fall 2020 - AXXESS Hospice (display ad)
NHPCO NewsLine Fall 2020 - Table of Contents
NHPCO NewsLine Fall 2020 - Virtual Interdisciplinary Conference (display ad)
NHPCO NewsLine Fall 2020 - Edo's Message
NHPCO NewsLine Fall 2020 - FY2021 Hospice Wage Index (feature article)
NHPCO NewsLine Fall 2020 - 7
NHPCO NewsLine Fall 2020 - 8
NHPCO NewsLine Fall 2020 - Virtual Conference Thank You (display ad 1/2 page)
NHPCO NewsLine Fall 2020 - Q&A on Election Statement
NHPCO NewsLine Fall 2020 - 11
NHPCO NewsLine Fall 2020 - 12
NHPCO NewsLine Fall 2020 - 13
NHPCO NewsLine Fall 2020 - 14
NHPCO NewsLine Fall 2020 - 15
NHPCO NewsLine Fall 2020 - Quality Care in the time of COVID-19
NHPCO NewsLine Fall 2020 - 17
NHPCO NewsLine Fall 2020 - 18
NHPCO NewsLine Fall 2020 - 19
NHPCO NewsLine Fall 2020 - Quality Connections
NHPCO NewsLine Fall 2020 - 21
NHPCO NewsLine Fall 2020 - NHPCO Releases Facts & Figures Report
NHPCO NewsLine Fall 2020 - 23
NHPCO NewsLine Fall 2020 - 24
NHPCO NewsLine Fall 2020 - 25
NHPCO NewsLine Fall 2020 - Seeing the World
NHPCO NewsLine Fall 2020 - 27
NHPCO NewsLine Fall 2020 - 28
NHPCO NewsLine Fall 2020 - 29
NHPCO NewsLine Fall 2020 - Weatherbee Resources (display ad 1/2 page)
NHPCO NewsLine Fall 2020 - NHF Gala Sponsor Thanks
NHPCO NewsLine Fall 2020 - Virtual Gala Recap
NHPCO NewsLine Fall 2020 - Highlight Value of Pediatric Care
NHPCO NewsLine Fall 2020 - State Pediatric Survey - Data Collection
NHPCO NewsLine Fall 2020 - We Honor Veterans Spotlight
NHPCO NewsLine Fall 2020 - New Courses Ondemand
NHPCO NewsLine Fall 2020 - Lighthouse of Hope (display ad 1/2 page)
NHPCO NewsLine Fall 2020 - Diversity Advisory Council Paper
NHPCO NewsLine Fall 2020 - AXXESS Hospice (display ad #2)
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