Directors' Memo

Claims Incorrectly RTPd for Lapse in Provider Number Revalidation

May 22, 2017 —   On May 17, 2017, National Government Services (NGS) informed Part A providers, including home health and hospice providers, of a current national issue involving claims with reason code 32103 or 32104 (Alert: Revalidate your provider number) being returned to provider (RTP) in error. At this time, ONLY Part A claims have been identified as... Read More


May 15, 2017 — HPCANYS is happy to announce that during a meeting held at the NYS Department of Health today, we were advised that a Dear Administrator Letter (DAL) will be issued in the near future, communicating the fact that the new “Bed Hold” regulations do not apply to hospice patients.   The NYS Department of Health also... Read More

Flu No Longer Prevalent

May 5, 2017 — On May 4, NYS Department of Health Commissioner Zucker declared that influenza is no longer considered to the “prevalent” in the state for the 2016-2017 season; therefore, unvaccinated personnel are no longer required to wear masks, as per New York State Sanitary Code (10 NYCRR § 2.59).

Important Notice on ABN Forms

May 5, 2017 — The Office of Management and Budget has approved the Advance Beneficiary Notice (ABN) Form CMS-R-131 for another three years. There are no changes to the form, except the new expiration date of March 2020. You may begin using the new form immediately, however beginning June 21, 2017, you must use the most recent version of... Read More

FFY 2018 Hospice Wage Index Analysis

May 3, 2017 — The 2018 Hospice Wage Index Proposed Rule, published in the Federal Register today, May 3, 2017, updates the hospice wage index, payment rates and cap amount for Federal Fiscal Year (FFY) 2018. Additionally, the rule proposes new data collection and patient assessment instrument, solicits feedback on the clinical certification of a medical prognosis of a... Read More

CMS Posts 2018 Wage Index

Apr 28, 2017 — Late yesterday, the Centers for Medicare and Medicaid (CMS) posted to the Federal Register the FFY2018 Hospice Wage Index. It is expected to be officially published on May 3. Key points include: A 1% marketbasket increase for 2018 Hospice cap amount of $28,689.04 No new quality measures A new data collection and patient assessment instrument... Read More

Reminder: Flu Vaccination Report Must Be Submitted to DOH by Monday, May 1

Apr 27, 2017 — Please submit your agency’s Healthcare Personnel Influenza Vaccination Report by Monday, May 1, 2017.  Here is the Department’s reminder to all nursing homes, certified home health agencies, licensed home care services agencies, hospices, adult day health and hospital providers: As soon as possible, please log in to the Health Commerce System and enter your facility... Read More

New Job Aid for NOE Timely Filing

Apr 13, 2017 — The Medicare Administrative Contractors (MACs), including New York State’s MAC, National Government Services, have collaborated to issue a job aid to assist providers when required billing elements for the notice of election cause it to be untimely. Please click here to access the document.

Social Security Number Removal Initiative

Mar 21, 2017 — Tucked into the voluminous text of the Medicare Access and CHIP Reauthorization Act (MACRA) is a provision designed to protect Medicare beneficiaries from fraud and identity theft by removing social security numbers from Medicare cards. The Social Security Number Removal Initiative intends to replace all Medicare cards by April of 2019. A new Medicare Beneficiary Identifier... Read More

MedPAC Report to Congress

Mar 17, 2017 — On March 15, the Medicare Payment Advisory Commission (MedPAC) presented one of its two annual reports to Congress. MedPAC is chartered to evaluate Medicare payment issues and make recommendations to Congress. This year, as in the past several years, MedPAC recommends no payment update for hospice for 2018. Other providers the Commission recommended flat lining... Read More