Regulatory A to Z

A   B   C   D   E   F   G   H   I   J   K   L   M   N   O   P   Q   R   S   T   U   V   W   X   Y   Z

The Regulatory A to Z page is an informational tool that makes the Regulatory & Compliance Center easier to navigate. It helps you quickly find and retrieve specific information. This A to Z page includes terms to meet the needs of hospice professionals and will continue to evolve as additional topics are added.

NHPCO’s Acronym Index

A

ABN (Advance Beneficiary Notice)

Accessing Medicare Beneficiary Information

ADR Probe Edits and Medicare Appeals Process

Advance Care Planning

Aggregate Cap

Assisted Living Facility

Audit Types and Sources

Authentication of Clinical Record Entries and Signatures

CFR 418 Subpart A-General Provisions and Definitions  Sections 418.1-418.3

B

Beneficiary Notices Initiatives (BNI)

Bereavement

Billing & Reimbursement

CFR 418 Subpart B –  Eligibility, Election & Duration of Benefits  Sections 418.20-418.30

C

Caps

Care Plan Oversight

Certificate of Need

Certification of Terminal Illness (CTI)/ Recertification

Certification/Recertification Attestation Requirements

CFR 418 Subpart C – Conditions of Participation: Patient Care

CGS

Change (transfer) of designated hospice provider

Change Requests

Chapter 11 – Claims Processing Manual – Hospice Chapter

Chronic Pain Experience Visual

Claims

CMS – Medicare Hospice Regulations

CMS Claims Processing Manual – Chapter 11 – Hospice

CMS HIPAA Eligibility Transaction System (HETs)

CMS Hospice Center

CMS Manuals

CMS Regulations

CMS Survey and Certification

Comment Letters

Complaints

Compliance for Hospices

Comprehensive Error Rate Testing (CERT)

Conditions of Participation

Continuous Home Care

Cost Report (Hospice)

COVID-19

D

Detailed Explanation of Non-Coverage (DENC)

Determining Terminal Prognosis

Dietary Counseling

Discharge from Hospice Services

Discharge/Revocations/Transfers

Drug Disposal Laws and Regulations

Drug Enforcement Agency (DEA) Office of Diversion Control

Drugs and Medications

CFR 418 Subpart D:  Conditions of Participation: Organizational Environment Section 418.100-418.116

E

Election of hospice

Electronic Signature

Eligibility

Emergency Preparedness

Enforcement

F

Face-to-Face Encounters

Facts and Figures

FEMA

Filing Complaints

Fraud and Abuse

CFR 418 Subpart F:  Covered Services  Section 418.200-418.205

G

General Inpatient Care (GIP)

CFR 418 Subpart G:  Payment for Hospice Care  Section 418.301-418.311

H

HIPAA

Hospice Aides

Hospice Cost Report

Hospice Eligibility Requirements

Hospice in Facilities

Hospice Regulations

Hospice Survey and Certification

CFR 418 Subpart H:  Coinsurance  Section 418.400-419.405

I

ICD10

Incident to billing

Inpatient Cap

Inpatient Respite Care

Interdisciplinary Team (IDT)

Interpretive Guidelines

Locations of Care

L

LCDs

Levels of Care

Local Coverage Determinations

M

MAC (Medicare Administrative Contractor)

Medicaid Hospice Statutes

Medicaid Rates

Medicaid Wage Index

Medical Reviews

Medicare Hospice Conditions of Participation

Medicare Hospice Statutes

Medicare Rates

Medicare Wage Index

MedPAC

N

National Government Services (NGS)

NHPCO Communications with CMS and other Entities

Non-Core Services: Physical Therapist, Occupational Therapist, Speech Pathologist, Alternative Therapies

Nondiscrimination in Health Programs and Activities

Notice of Election

Notice of Non-Medicare Coverage (NONMC)

Nurse Aide Registries

Nurse Practitioner Billing

Nurse Pronouncement of Death

Nurses/Nurse Practitioners

Nursing Homes or Nursing Facilities

O

Office of Inspector General (OIG)

OIG Reports and Resources

P

Palmetto GBA (PGBA)

Part D and Hospice

Payment Error Rate Measurement (PERM)

PEPPER (Program for Evaluating Payment Patterns Electronic Report)

Physician Assistant

Physician Billing

Physicians and Medical Directors

PUF Data

Q

Q-Codes

R

RAC

Recovery Audit Contractor (RAC)

Regulations

Regulatory Alerts

Relatedness

Respite

Revocation of the Hospice Medicare Benefit

Routine Home Care

S

Signatures and documentation

Skilled Nursing Facility

Social Work State Licensing Boards (all social worker levels)

Social Workers

Spiritual Caregiver

State Boards of Nursing (all nursing levels)

State Medical Boards (all physician levels)

State Operations Manual – Interpretive Guidelines

State Regulations

State Survey Agencies

State-specific Resources

Supplemental Medical Review Contractor (SMRC)

Survey Deficiencies

Survey Readiness

T

Targeted Probe and Educate Process

Transfers

Traveling Patient Toolkit

U

Unified Program Integrity Contractor (UPIC)

V

Value-Based Insurance Design Model (VBID)

Veterans Affairs

Volunteers

W

Wage Index – Medicaid

Wage Index – Medicare

Z

Zone Program Integrity Contractor (ZPIC)

Have a question or find a broken link? Email us at Regulatory@NHPCO.org