Beyond the Addendum: What Else Hospice Leaders Need to Know Before October 1 In Part I of our FY 2027 Hospice Final Rule series, we focused on what we believe is the most significant operational change facing hospices this year: the mandatory Hospice Election Statement Addendum. But the Addendum isn’t the only change hospice leaders…
The Biggest Operational Change: Why Every Hospice Needs to Rethink the Election Statement Addendum The long-anticipated FY 2027 Hospice Final Rule has finally been released, and hospice leaders across the country are asking the same questions: What changed? What does it mean for my organization? What do we need to do before October 1? Over…
At first glance, the new hospice and home health moratorium may seem like good news. Fewer new providers entering the market could mean less competition and greater stability for existing organizations. But the reality is far more complex. While the moratorium limits new entrants, it also signals a dramatic escalation in government oversight across the…
The recent announcement from CMS placing a moratorium on new hospice and home health enrollments isn’t just about limiting new agencies—it’s a clear signal of increased scrutiny across the entire industry. What does this mean for existing providers? More ADRs and denials Heightened focus on eligibility and recertification documentation Increased audits and compliance reviews Greater…
What makes a patient eligible for hospice? Is it meeting the LCD, is it 418.20 and 418.22, or is it something else entirely? Does the patient have to decline? What do we do if we’re just not sure? If you have ever had to admit a patient, answer an additional development request (ADR) or help…
The hospice eligibility conundrum The resumption of the Hospice TPE as brought with it a rash of new technical denials, including denials related predominantly related to the new Notice of Election and Election of Benefit form requirements. Many hospices are finding themselves on the denial end of the TPE process as the MAC reviewers are…