Important Hospice Quality Reporting Reminders

The Centers for Medicare & Medicaid Services recently posted the Hospice Outreach Email for June and it contains reminders and updates on the various Medicare hospice quality reporting program (HQRP) activities.  There are two reminders hospices should take note of.

  1. Upcoming Reconsideration Period for the Fiscal Year (FY) 2023 HQRP

Data submitted in 2021 impacts the FY 2023 annual payment update (APU). If your hospice did not meet the reporting requirements in CY 2021 and will be subject to the FY 2023 APU penalty of 2%, the Centers for Medicare & Medicaid Services (CMS) will notify you in two ways:

  • A notification from your Medicare Administrative Contractor (MAC) and
  • A notification in your facility’s Certification and Survey Provider Enhanced Reports (CASPER) folder.

The notifications will be distributed on July 12, 2022 and will include instructions for submitting a reconsideration. There is a 30-day timeframe for filing the reconsideration request. For more information on your right to request a reconsideration and the CMS reconsideration process, please visit the Hospice Reconsideration Requests webpage.

  1. FY 2024 Hospice Quality Reporting Reminder

Hospice quality reporting data submitted in CY 2022 data, starting on January 1, 2022 impacts FY 2024 payments. Beginning with FY 2024, the APU penalty doubles, going from 2% to 4%, for hospices not meeting the HQRP requirements. To ensure hospices achieve the full APU, be certain to meet the quality reporting requirements for data submission in CY 2022:

Annual Payment Update HIS CAHPS
FY2024 Submit at least 90 percent of all HIS records within 30 days of the event date (patient’s admission or discharge) for patient admissions/discharges occurring 1/1/22 – 12/31/22. Ongoing monthly participation in the Hospice CAHPS survey 1/1/2022 – 12/31/2022

Most hospices that receive the APU penalty do so because of noncompliance with the Hospice Item Set (HIS) submission requirements. This frequently occurs during changes in EHR systems and changes in staffing so hospices should be sure to confirm submission of the HIS timely by downloading the Final Validation Reports. This report identifies HIS submissions received by CMS, and this receipt must occur in order for the hospice to receive “credit” for having submitted the HIS.

Important Hospice Quality Reporting Reminders

The Centers for Medicare & Medicaid Services recently posted the Hospice Outreach Email for June and it contains reminders and updates on the various Medicare hospice quality reporting program (HQRP) activities.  There are two reminders hospices should take note of. Upcoming Reconsideration Period for the Fiscal Year (FY) 2023 HQRP Data submitted in 2021 impacts the FY…

Home Health CAHPS Participation Exemption Request Deadline

The deadline for home health agencies to submit a request for an exemption from participating in the Home Health CAHPS (HH CAHPS) Survey for the CY 2023 Annual Payment Update (APU) is March 31, 2022. Medicare-certified home health agencies are eligible for an exemption if they served 59 or fewer survey eligible patients between April 1,…

Home Health CAHPS Participation Exemption Request Deadline

The deadline for home health agencies to submit a request for an exemption from participating in the Home Health CAHPS (HH CAHPS) Survey for the CY 2023 Annual Payment Update (APU) is March 31, 2022. Medicare-certified home health agencies are eligible for an exemption if they served 59 or fewer survey eligible patients between April 1,…

Home Health CAHPS Participation Exemption Request Deadline

The deadline for home health agencies to submit a request for an exemption from participating in the Home Health CAHPS (HH CAHPS) Survey for the CY 2023 Annual Payment Update (APU) is March 31, 2022. Medicare-certified home health agencies are eligible for an exemption if they served 59 or fewer survey eligible patients between April…

CMS Updated Quality Reporting in the Open Door Forum

The Centers for Medicare & Medicaid Services (CMS) provided some important quality updates in the Tuesday, December 14 Home Health, Hospice, and DME (Durable Medicare Equipment) Open Door Forum (ODF). What follows is a detailed summary of those updates from a NAHC staffer who monitored the call. HOME HEALTH QUALITY REPORTING PROGRAM UPDATES The reconsideration…

Home Health Quality Reporting: Non-Compliance Letters for CY2022 APU

The Centers for Medicare & Medicaid Services (CMS) is providing notifications to home health agencies that were determined to be out of compliance with Quality Reporting Program (QRP) requirements for CY 2020, which will affect their CY 2022 Annual Payment Update (APU). Non-compliance notifications are being distributed by the Medicare Administrative Contractors (MACs) and were…

CMS Notifying Agencies of Non-Compliance

Also, you may download preview reports and star rating reports from January 2020 refresh The Centers for Medicare & Medicaid Services is providing notifications to Home Health Agencies that were determined to be out of compliance with Home Health Quality Reporting Program (HH QRP) requirements, which will affect their CY 2020 Annual Payment Update (APU).…

Hospice Quality Updates: Annual Payment Update Webinar and Much More!

REGISTRATION OPEN –HQRP: Achieving a Full APU Webinar, January 23, 2019 The Centers for Medicare & Medicaid Services (CMS) will be hosting a webinar on Wednesday, January 23, 2019, from 2:00 to 3:30 p.m. EST. The purpose of the webinar is to educate providers as to the Annual Payment Update (APU) process to achieve full…