The August 22, 2014 Federal Register – 2015 Hospice Wage Index and Payment Rate Update is out. This final rule kicks in October 1, 2014 and includes significant changes to CAP calculation responsibility and timing, filing of NOE’s and NOTR’s and payment rates. In addition, it addresses CMS areas of concerns regarding the benefit and significant discussion of the issues that are leading to eventual payment reform. Just out also are sweeping changes to the Hospice Cost Report which is going to have a significant impact on collection of financial and patient data in order that hospice providers can file compliant cost reports. It is clear that CMS is collecting additional data on claims and cost reports for the eventual reform of the payment system that was formed between 1980 and 1983. We will cover all of the above in our seminars starting next week (9/11/14) in San Antonio. These promise to be great interactive sessions as we discuss the past, present and future on the Medicare Hospice Benefit.