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Regulatory

Welcome to the Regulatory and Compliance Center!

Alerts and Publications

Read NHPCO Regulatory Alerts, Regulatory Round-Ups, NewsBriefs items.

Hot Topics

Learn about hospice topics in the “spotlight” and review the hospice compliance calendar

NHPCO-Developed Tools and Resources

Find NHPCO-developed tip sheets, resource materials, checklists, sample forms and other helpful tools available for download to NHPCO members

Billing and Reimbursement

Find this year’s wage index and Medicare and Medicaid rates for your service area, MACs, billing for hospice services, and cost reports

Compliance for Hospices

Learn about developing a compliance program, compliance professional responsibilities and compliance risk areas for hospice providers

Federal Resources

Find information about Federal Hospice statutes and regulations, as well as information from other federal agencies, including HHS, Office of Civil Rights, Food and Drug Administration, DEA, and others

Fraud and Abuse

Review current fraud and abuse initiatives at the state and federal levels, including OIG, Recovery Audit Contractors (RAC), Zone Program Integrity Contractors (ZPIC), Medicaid Integrity Contractors (MIC), Department of Justice, and other

Hospice Operations

Locate resources to direct regulatory oversight for hospice operations, guide administration management, and support your clinical staff

Interdisciplinary Team

Find discipline-specific information and resources for all members of the interdisciplinary team

Physician and Nurse Practitioner Billing

Physician and Nurse Practitioner billing for hospice services , care plan oversight, PECOS registration, exclusions listing and more

Quality

Tools to assess and monitor the quality of care and services your hospice provides, and other information and resources 

State Specific Resources

Find information about state hospice regulations, contacts for state licensing boards and survey agencies, and none state specific resources

Contact Regulatory and Compliance Team

Regulatory Assistance - If after reviewing the online resources you need additional assistance, contact  regulatory@nhpco.org.

Locations and Levels of Care

Learn about the four different levels of hospice care and how they distinguish hospices from other types of healthcare providers.

Regulatory A to Z

Find any Regulatory topic quickly in this alphabetical list