Regulatory & Compliance Center

Listing of Regulatory Topics. Hospice Acronym Index.

Advance Beneficiary (ABN). Notice of Medicare NonCoverage (NOMNC). Detailed Explanation of Non-Coverage (DENC).

Resources for Medicare billing, physician and NP billing and reimbursement. Medicare and Medicaid Rates. Hospice Cap. Hospice cost report. Q Codes.

Technical Requirements for Certification, Recertification, Physician Narrative, Face to Face, Attestations. Signatures.

Data to assist in identifying risk areas. MedPac. NHPCO Facts and Figures. PUF. PEPPER. Proposed Rules.

Discharge No Longer Terminal. Discharge Leave the Service Area. Discharge For Cause. Revocation. Transfer (Change) of Designated Hospice Provider. Traveling Patients.

Requirements for a Medicare Hospice Election Statement. Election Statement Addendum. Initial and Comprehensive Assessments. Notice of Election (NOE).

Emergency Preparedness and CMS. Coronavirus (COVID-19) Public Health Emergency.

Hospice Care in Skilled Nursing Facilities (SNF). Nursing Facility (NF). Assisted Living (ALF) and ICF/IID. Q Codes.

HIPAA Requirements. Information Blocking Rule.

This section provides regulatory resources on the roles of the IDT, core services, medical directors versus other hospice physicians, hospice aide supervision, and the hospice plan of care.

Routine Home Care. General Inpatient Care. Inpatient Respite Care. Continuous Home Care. Q Codes.

Medical review entities: Medicare Administrative Contractors (MACs). Unified Program Integrity Contractors (UPICs). Recovery Auditors (RA). Special Medicare Review Contractors (SMRC).

Regulations and links to important CMS and other Federal Regulations and Resources. Medicare Conditions of Participation. Medicare Conditions of Payment. Medicaid.

Prescribing. Drug Disposal.

Pediatric Palliative and Hospice Care. Concurrent Care. TRICARE.

OIG. OIG List of Excluded Individuals/Entities (LEIE). Fraud and Abuse. Compliance Program Guidance. CMS Fraud and Abuse Contractors. NHPCO Compliance Certificate Program.

Find NHPCO Regulatory Alerts and Updates. Comment Letters. and Publication Links of importance.

A monthly opportunity for members to have their regulatory questions answered.

Related and Unrelated Conditions, Medications, Drugs and Dervices. Hospice and Part D.

The Hospice Special Focus Program (SFP) is a program conducted by CMS to identify hospices as poor performers, based on defined quality indicators, in which CMS selects hospices...

State Regulations and Laws. Certificate of Need Comparison.

Medicare Survey Process. Survey Readiness. Survey Response. Plan of Correction. Top Survey Deficiencies. Enforcement Remedies.

Terminal Illness. Related Conditions. Eligibility. Local Coverage Determinations. ICD-10.

Orientation and Training. Recruitment. Retention. Cost Savings. Counting Hours for 5%.