This regulation governs periodic interim payment (PIP) elections for hospice providers under Medicare, allowing biweekly or monthly payment intervals based on estimated Medicare payments for the reporting period. It also addresses accelerated payment requests for hospices not receiving PIP. This is a Medicare reimbursement/billing rule specific to hospice care and does not govern any behavioral health, IDD, ABA, or foster care level of care.
View official source§ 418.307 Periodic interim payments. Subject to the provisions of § 413.64(h) of this chapter, a hospice may elect to receive periodic interim payments (PIP) effective with claims received on or after July 1, 1987. Payment is made biweekly under the PIP method unless the hospice requests a longer fixed interval (not to exceed one month) between payments. The biweekly interim payment amount is based on the total estimated Medicare payments for the reporting period (as described in §§ 418.302-418.306). Each payment is made 2 weeks after the end of a biweekly period of service as described in § 413.64(h)(5) of this chapter. Under certain circumstances that are described in § 413.64(g) of this chapter, a hospice that is not receiving PIP may request an accelerated payment. [59 FR 36713, July 19, 1994]