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Thank you for your interest in Missouri Hospice and Palliative Care Association. MHPCA is a state-wide non-profit organization dedicated to supporting and strengthening coordinated care for terminally ill Missourians and their families through the advancement of hospice and palliative care. Learn More >>
For Patients and Families
MHPCA offers a wide range of services and support to help you navigate through the process of selecting care and treatment for loved ones who are terminally ill. We believe the end of life can be a meaningful time for patients and their families and we want to help you find peace of mind in a qualified care provider. Click here to learn about the resources available to you.
For Healthcare Professionals
To enable you to provide the highest quality of care, MHPCA offers a wide range of information, research, educational events, and other important resources. Click here to learn more about what we offer to you the Healthcare Professional or click here to learn about the benefits of becoming an MHPCA member.
For Supporters
Are you interested in helping advance the mission of MHPCA? Click here to donate today or click on the links below to learn about other way to support our work.
Missouri Hospice & Palliative Care Article from Lincoln University-January 2010-click here to read
Information for Hospices:
OIG Hotline - 1-800-447-8477
CMS Answers to Questions:
ID#: 9955, Posted January 7, 2010
Question: While CR #6540 (re-issued on 12/23/09) speaks to the hospice reporting requirements for the attending physician and the physician certifying the terminal illness, it still does not address "midstream changes" in either the attending or certifying physician. If the attending or certifying physician that was reported on the 81A changes before the first bill is dropped, should the provider report on the first bill the actual attending or certifying physician at the date of service on the bill? Also, for any adjusted or late bills, should the attending or certifying physician reported be that physician at the time of the adjustment or the actual physician for the bill dates of service?
CMS Answer: For mid-stream changes in the "attending physician" hospices should report the "attending physician" that exists at the end of the billing period of that particular claim. At this time, we are not requiring changes to the "attending physician" on the NOE. For mid-stream changes in the "certifying physician" hospice should report the physician who actually certified the beneficiary for the hospice benefit period reflected by the services on the claim. If the billing period spans more than one hospice benefit period, the hospice should report the physician who certified the beneficiary for the latest, most recent hospice benefit period reflected on the claim. At this time, we are not requiring changes to the "certifying physician" on the NOE.
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