Preparing for Hospice Election Addendum Requirement
Preparing for Hospice Election Addendum Requirement
This requirement reinforces the importance of strong admission processes, accurate documentation, staff education, and consistent communication with patients and families. Ensuring your team understands when the addendum is required, how it should be completed, and how to support compliance will be key to reducing risk and maintaining survey readiness.
We know these regulatory updates can feel overwhelming, and our team is here to help. We can support your agency with education, policy review, documentation guidance, process development, and staff training to help ensure your hospice program is prepared and confident.
Home Health Agencies: Download Your 2025 PEPPER
CMS released the 2025 Program for Evaluating Payment Patterns Electronic Report (PEPPER) for home health agencies.
Need a deeper analysis of your PEPPER report?
Home Health Coding and OASIS Reviews
OASIS Compliance Review
Medical Necessity
Face-to-Face Compliance
Reasonable and Necessary
Homebound eligibility
OASIS paints the clinical picture
Narrative summarizes the skill and education provided
Provider Verbal Authorization confirms continued care and visit frequency
Hospice Pre-Bill Provided by SMART Healthcare Compliance Resources
In an era of intensifying CMS scrutiny and complex Medicare regulations, submitting a hospice claim without rigorous preliminary oversight is a significant financial and operational liability. Pre-bill auditing is a proactive compliance mechanism that reviews clinical documentation, eligibility metrics, and claims data before they are submitted to Medicare or other payors.It All Begins Here
Fiscal Year 2027 - Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements Final Rule
In an era of intensifying CMS scrutiny and complex Medicare regulations, submitting a hospice claim without rigorous preliminary oversight is a significant financial and operational liability. Pre-bill auditing is a proactive compliance mechanism that reviews clinical documentation, eligibility metrics, and claims data before they are submitted to Medicare or other payors.It All Begins Here