Response: We appreciate the opportunity to provide clarification. Live discharges occur when the patient discharge status code on a hospice claim does not equal a code from the following list: 30, 40, 41, 42, 50, 51. Ideally, the supervising RN is both responsible for supervision of the aide services as well as being primarily responsible for the patient's nursing care. The HCI will complement the existing HIS Comprehensive Measure and does not replace any existing reported measures. The first column shows the breakdown of all hospices by provider type and control (non-profit, for-profit, government, other), facility location, facility size. Since FY 2014, hospices that fail to report quality data have their market basket percentage increase reduced by 2 percentage points. For each hospice, we divide the number of beneficiaries with skilled nursing or medical social service visits on a hospice claim during the last 3 days of life by the number of beneficiaries with at least 1 day of hospice during the last 3 days of life. PDF FY 2023 Medicaid Hospice Rates and State/County Rate Charts Any measures selected by the Secretary must have been endorsed by the consensus-based entity which holds a performance measurement contract with the Secretary under section 1890(a) of the Act. We appreciate all the comments and interest in this topic. Finally, in the FY 2021 Hospice Wage Index and Payment Rate Update final rule (85 FR 47079), we finalized a 1-year transition 5 percent cap on wage index decreases for fiscal year (FY) 2021 only. In chapter 6 of the June 2007 Report to Congress, MedPAC recommended the new wage index should: Use wage data from all employers and industry-specific occupational weights, adjust for geographic differences in the ratio of benefits to wages, adjust at the county level and smooth large differences between counties, and be implemented so that large changes in wage index values are phased in over a transition period. Consistent with our policy for measure retention and removal, finalized in the FY 2016 Hospice Wage Index and Rate Update final rule (80 FR 47142), we reviewed these measures against the factors for removal. The intent was to provide an illustrative example so hospices can modify and develop their own forms to meet the content requirements. (2016). An official website of the State of Georgia. #2158 Payment-Standardized Medicare Spending Per Beneficiary (MSPB). We intend to submit additional claims-based measures for future consideration and solicit public comment. The overall economic impact of this final rule is estimated to be $480 million in increased payments to hospices for FY 2022. We estimate that the aggregate impact of the payment provisions in this rule will result in an increase of $480 million in payments to hospices, resulting from the hospice payment update percentage of 2.0 percent for FY 2022. We describe our proposed methodology for deriving the compensation cost weights for each level of care using the MCR data below as well as a summary of the comments received and our responses. A summary of the comments we received and our responses those comments are below: Comment: Several comments support the re-specified HVLDL claims-based measure and the resulting reduction of burden, but expressed concern that the measure is limited to RN and medical social worker. PDF Medicare Program; FY 2023 Hospice Wage Index and Payment Rate - NHPCO