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Regulatory

Welcome to the Regulatory and Compliance Center! Click on the buttons below to navigate our site.

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Read NHPCO Regulatory Alerts, Regulatory Round-Ups, NewsBriefs items and NewsLine Articles

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

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

 

NHPCO_Buttons11_billing.jpg Find any Regulatory topic quickly in this alphabetical list

 

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

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

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  

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  

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

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

Learn about the 4 levels of hospice care as well as provision of hospice care in  LTC facilities, nursing homes, assisted living facilities, and other congregate living environments  

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

Link to the NHPCO Quality Resource Center for more information on quality reporting and quality measures. Learn about the requirements for the Quality Assessment Performance Improvement process and the regulatory citations and guidance

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

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