The Fiscal Year 2020 Hospice Payment Rate Update Final Rule included two changes in the admission process:  1) changes to the hospice election statement and 2) an election statement addendum entitled “Patient Notification of Hospice Non-Covered Items, Services, and Drugs”. Both are effective October 1, 2020 (FY 2021).  For admissions that occur October 1, 2020 or later, the hospice will be required to use the newly amended hospice election statement.  Upon the patient or representative’s request, the hospice will be required to provide the patient and/or representative with an election statement addendum, with details about the items, services, and drugs that the hospice has determined to be unrelated to the terminal illness and related conditions and will not pay for.  Information on beneficiary cost-sharing must also be included in the addendum. The goal of the addendum is to increase coverage transparency for beneficiaries under a hospice election. This Webinar will examine these new requirements and discuss strategies for compliance.

Learning Outcomes

      • Discuss the new changes in the hospice election statement
      • List the elements of the new hospice election statement addendum
      • Describe CMS’s rationale for the new requirements
      • Identify strategies for implementing both the hospice election statement changes and addendum


Jennifer Kennedy, EdD, MA, BSN, RN, CHC

Jennifer is the Senior Director of Regulatory and Quality for the National Hospice & Palliative Care Organization and has been with the organization since 2006. She has more than 30 years of experience as a leader and nurse in diverse healthcare settings and has worked in hospice and palliative care for the last 19+ years. She has a bachelor’s degree in nursing, a dual master’s degree in health education and case management, and completed her doctoral degree in health care education and policy in March 2018. Jennifer is a certified compliance professional and legal nurse consultant. She speaks at national and state conferences, writes articles for trade journals, contributes to health care publisher materials, develops education and resources for hospice and palliative care providers, and serves on the ANA’s national palliative nursing task group.

Judi Lund Person, MPH, CHC

Judi Lund Person has been the Vice President, Regulatory and Compliance for the National Hospice and Palliative Care Organization since July 2002. Judi serves as a key contact with the Centers for Medicare and Medicaid Services, interfacing with hospice payment policy, Part D, survey and certification, contractor management, and program integrity functions, among others.  She also represents hospice and palliative care with the Medicare Administrative Contractors and other federal agencies and many national organizations.  She is a frequent speaker at state and national meetings and works daily with hospice providers and state hospice organizations on the ever-increasing array of regulatory and compliance issues. She works with her team at NHPCO to develop regulatory and compliance tools, including hospice payment rates and wage index values and compliance guides. She is also a certified compliance professional (CHC). 

Melissa “Missy” Ring, MSN, RN

Missy is the Director of Regulatory and Compliance at the National Hospice and Palliative Care Organization. With more than 15 years of hospice palliative care experience, Missy has worked in hospital, community based, national, and integrated health systems in both profit and nonprofit organizations. Missy brings vast experience in nursing, regulatory and compliance, quality and standards, operations, administration, and patient safety to her work at NHPCO. She has a Master of Science in Nursing – Leadership from Jefferson College of Health Sciences, and a Bachelor of Arts – Concentration on Business Administration from Mary Baldwin College. She is currently working on her Doctor of Nursing Practice degree at James Madison University.

CE/CME Information

Nurse: NHPCO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

NHPCO designates this live activity for a maximum of 1 contact hours. Nurses should claim only the contact hours commensurate with the extent of their participation in the activity. Accredited status by ANCC refers only to continuing nursing education and does not imply endorsement of any commercial product discussed in conjunction with this activity.

Physician: The National Hospice and Palliative Care Organization is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

NHPCO designates this live activity for a maximum of 1 AMA PRA Category 1 credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Certificate of Participation for Non-physician Healthcare Professionals: For participants* whose disciplines are other than nurse and physician, you may request a Certificate of Participation for Non-physician Healthcare Professionals to submit to your accrediting bodies/licensing boards for continuing education credit. This certificate will indicate the Webinar was certified for AMA PRA Category 1 Credit(s) TM. It is the responsibility of participants to submit the certificates to their accrediting bodies/licensing boards for approval. Unfortunately, NHPCO cannot guarantee its acceptance. To receive this certificate, you must complete all CE/CME requirements and indicate your desire to receive this certificate on the evaluation form.

*including bereavement professionals, finance professionals, physician assistants, social workers, spiritual care givers, etc.