Hospice Recertification Flexibility Act
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Bill details
Summary
Introduced in House
Hospice Recertification Flexibility Act This bill extends until December 31, 2027, the ability of physicians and nurse practitioners to fulfill certain requirements for hospice care recertification under Medicare via telehealth. Specifically, physicians and nurse practitioners may continue to fulfill the requirement of a face-to-face encounter with the hospice patient via telehealth. Such telehealth encounters must be identified with a specialized claims modifier for purposes of billing. The bill's authorization does not apply (1) in areas in which there has been a moratorium for at least six months on the enrollment of new hospice programs under Medicare, Medicaid, or the Children's Health Insurance Program (CHIP) due to fraud, waste, or abuse; (2) to providers who are subject to enhanced oversight under Medicare, Medicaid, or CHIP; and (3) to practitioners who are not enrolled as Medicare providers and who have private contracts with Medicare patients that do not meet applicable opt-out requirements.
District impact notes
The Hospice Recertification Flexibility Act allows certain healthcare providers to use telehealth for hospice care recertification until December 31, 2027. • This policy could help local healthcare providers meet Medicare requirements more efficiently, potentially improving access to hospice care. • It may also affect local patients and families by allowing more flexible options for face-to-face encounters with hospice professionals. • There may be questions about how effectively the specialized claims modifier will be implemented and whether it will create any administrative challenges for providers. AI-generated from official bill summary and plain-English note; verify with official text.
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