NHPCO NewsLine Fall 2019 - 7
The Centers for Medicare and Medicaid Services released the FY2020 Hospice
Wage Index Final Rule that includes rebasing of and an increase in payment rates for
Continuous Home Care (CHC), Inpatient Respite Care (IRC), and General Inpatient Care
(GIP), a reduction in Routine Home Care (RHC) rates, changes to the hospice election
statement, a new requirement for an election statement addendum detailing the items,
services or drugs the hospice will not cover, and changes to the hospice quality reporting
program. The following three sections outline key issues of importance for providers.
Hospice Payment Rates
The final rule announces a 2.6% increase in hospice rates. The increases are used solely to rebase the rates for
Continuous Home Care (CHC), Inpatient Respite Care (IRC), and General Inpatient Care (GIP).
The Routine Home Care rates are reduced by -2.72% to accommodate the rebasing for the other three levels
of care. The rates for RHC, at both the high (1-60 days) and low tier (61+ days), are a reduction of $1.75 per
day from the original FY2019 RHC high tier rate, and a reduction of $0.49 from the original FY2019 RHC
payment rates for the low tier rate.
Payment Rates with Quality Reporting
October 1, 2019 - September 30, 2020
RHC Rates
Description
FY2019
Original
Payment
Rates
FY2019
Rebased
Payment
Rates
SIA Budget
Neutrality
Factor
Wage Index
Standardization
Factor
FY2020
Hospice
Payment
Update
FY2020
Payment
Rates
651
RHC 1-60 days
$196.25
$190.91
X 0.9924
X 1.0006
X 1.026
$194.50
651
RHC 61+ days
$154.21
$150.02
X 0.9982
X 1.0005
X 1.026
$153.72
Code
Other Levels of Care Rates
Description
FY2019
Original
Payment
Rates
FY2019
Rebased
Payment
Rates
Wage Index
Standardization
Factor
FY2020
Hospice
Payment
Update
FY2020
Payment
Rates
652
Continuous Home Care Full
rate = 24 hours of care
$997.38
$1,363.26
X 0.9978
X 1.026
$1,395.63
652
Continuous Home Care
and SIA Hourly rate
$41.56
$56.80
X 0.9978
X 1.026
$58.15
655
Inpatient Respite Care
$176.01
$437.86
X 0.9978
X 1.026
$450.10
656
General Inpatient Care
$758.07
$992.99
X 1.0019
X 1.026
$1,021.25
Code
Newsline / Fall 2019
7
https://www.federalregister.gov/documents/2019/08/06/2019-16583/medicare-program-fy-2020-hospice-wage-index-and-payment-rate-update-and-hospice-quality-reporting
https://www.federalregister.gov/documents/2019/08/06/2019-16583/medicare-program-fy-2020-hospice-wage-index-and-payment-rate-update-and-hospice-quality-reporting
NHPCO NewsLine Fall 2019
Table of Contents for the Digital Edition of NHPCO NewsLine Fall 2019
Interdisciplinary Conference (display ad)
Table of Contents
Message from Edo
FY2020 Hospice Wage Index Rule
Quality Reporting Updates
Q&A New Requirements: Addendum
Co-creating Resilience
Marketplace (display ad)
2019 IDC - Developing the Skills
NHPCO Edge Can Help
There's More to Death
Hospice Compliance-Quality Connection
My Hospice Ambassadors
We Honor Veterans Update
National Hospice Month Outreach
Resources for Pediatric Care
Programs Honored for Innovation
Become More Involved with NHPCO
Online Career Center
In Memoria: Kathy Brandt
Care Notes (display ad)
UW-Madison Grief Support (display ad)
Death by Design (display ad)
ACHC (display ad)
Lighthouse of Hope Fund (display ad)
back cover
NHPCO NewsLine Fall 2019 - intro
NHPCO NewsLine Fall 2019 - 1
NHPCO NewsLine Fall 2019 - Interdisciplinary Conference (display ad)
NHPCO NewsLine Fall 2019 - Table of Contents
NHPCO NewsLine Fall 2019 - Message from Edo
NHPCO NewsLine Fall 2019 - 5
NHPCO NewsLine Fall 2019 - FY2020 Hospice Wage Index Rule
NHPCO NewsLine Fall 2019 - 7
NHPCO NewsLine Fall 2019 - 8
NHPCO NewsLine Fall 2019 - 9
NHPCO NewsLine Fall 2019 - Quality Reporting Updates
NHPCO NewsLine Fall 2019 - 11
NHPCO NewsLine Fall 2019 - 12
NHPCO NewsLine Fall 2019 - Q&A New Requirements: Addendum
NHPCO NewsLine Fall 2019 - 14
NHPCO NewsLine Fall 2019 - 15
NHPCO NewsLine Fall 2019 - 16
NHPCO NewsLine Fall 2019 - 17
NHPCO NewsLine Fall 2019 - Co-creating Resilience
NHPCO NewsLine Fall 2019 - 19
NHPCO NewsLine Fall 2019 - 20
NHPCO NewsLine Fall 2019 - 21
NHPCO NewsLine Fall 2019 - 22
NHPCO NewsLine Fall 2019 - Marketplace (display ad)
NHPCO NewsLine Fall 2019 - There's More to Death
NHPCO NewsLine Fall 2019 - 25
NHPCO NewsLine Fall 2019 - 26
NHPCO NewsLine Fall 2019 - 27
NHPCO NewsLine Fall 2019 - NHPCO Edge Can Help
NHPCO NewsLine Fall 2019 - 29
NHPCO NewsLine Fall 2019 - 30
NHPCO NewsLine Fall 2019 - 31
NHPCO NewsLine Fall 2019 - Hospice Compliance-Quality Connection
NHPCO NewsLine Fall 2019 - My Hospice Ambassadors
NHPCO NewsLine Fall 2019 - We Honor Veterans Update
NHPCO NewsLine Fall 2019 - 35
NHPCO NewsLine Fall 2019 - National Hospice Month Outreach
NHPCO NewsLine Fall 2019 - 37
NHPCO NewsLine Fall 2019 - Resources for Pediatric Care
NHPCO NewsLine Fall 2019 - Programs Honored for Innovation
NHPCO NewsLine Fall 2019 - Online Career Center
NHPCO NewsLine Fall 2019 - In Memoria: Kathy Brandt
NHPCO NewsLine Fall 2019 - Death by Design (display ad)
NHPCO NewsLine Fall 2019 - Lighthouse of Hope Fund (display ad)
NHPCO NewsLine Fall 2019 - back cover
https://www.nxtbook.com/mercury/nhpco/NewsLine_Winter2020
https://www.nxtbook.com/mercury/nhpco/NewsLine_Fall2020
https://www.nxtbook.com/mercury/nhpco/NewsLine_Summer2020
https://www.nxtbook.com/mercury/nhpco/NewsLine_Spring2020
https://www.nxtbook.com/mercury/nhpco/NewsLine_Winter2019
https://www.nxtbook.com/mercury/nhpco/NewsLine_Fall2019
https://www.nxtbook.com/mercury/nhpco/NewsLine_Summer2019
https://www.nxtbook.com/mercury/nhpco/NewsLine_Spring2019
https://www.nxtbook.com/mercury/nhpco/NewsLine_Winter2018
https://www.nxtbook.com/mercury/nhpco/NewsLine_Fall2018
https://www.nxtbook.com/mercury/nhpco/NewsLine_Summer2018
https://www.nxtbook.com/mercury/nhpco/NewsLine_Spring2018
https://www.nxtbook.com/mercury/nhpco/NewsLine_Winter2017
https://www.nxtbook.com/mercury/nhpco/NewsLine_Fall2017
https://www.nxtbook.com/mercury/nhpco/NewsLine_Summer2017
https://www.nxtbook.com/mercury/nhpco/NewsLine_Spring2017
https://www.nxtbook.com/mercury/nhpco/NewsLine_2016Winter
https://www.nxtbook.com/mercury/nhpco/NewsLine_2016Fall
https://www.nxtbook.com/mercury/nhpco/NewsLine_2016Summer
https://www.nxtbook.com/mercury/nhpco/NewsLine_2016Spring
https://www.nxtbook.com/mercury/nhpco/NewsLine_2015Winter
https://www.nxtbook.com/mercury/nhpco/NewsLine_2015Fall
https://www.nxtbook.com/mercury/nhpco/NewsLine_2015Summer
https://www.nxtbook.com/mercury/nhpco/NewsLine_2015Spring
https://www.nxtbook.com/mercury/nhpco/NewsLine_2014Winter
https://www.nxtbook.com/mercury/nhpco/NewsLine_2014Fall
https://www.nxtbook.com/mercury/nhpco/Newsline_201406
https://www.nxtbook.com/mercury/nhpco/Newsline_201405
https://www.nxtbook.com/mercury/nhpco/newsline_201404
https://www.nxtbook.com/mercury/nhpco/newsline_201403
https://www.nxtbook.com/mercury/nhpco/newsline_201402
https://www.nxtbook.com/mercury/nhpco/newsline_201401
https://www.nxtbook.com/mercury/nhpco/newsline_201312
https://www.nxtbook.com/mercury/nhpco/newsline_201311
https://www.nxtbook.com/mercury/nhpco/Newsline_201310
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201309
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201308
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201307
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201306
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201305
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201304
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201303
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201302
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201301
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201212
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201211
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201210
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201209
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201208
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201207
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201206
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201205
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201204
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201203
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201202
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201201
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201112
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201111
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201110
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201109
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201108
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201107
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201106
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201105
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201104
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201103
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201102
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201101
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201012
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201011
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201010
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201009
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201008
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201007
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201006
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201005
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201004
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201003
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201002
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201001
https://www.nxtbookmedia.com