Tag: CMS

Hospice Quality Reporting Program Update

Below are updates regarding the Hospice Quality Reporting Program (HQRP) that were recently posted: Quarterly Q&A The HQRP Quarterly Q&A for Q1 2023 is now available. This Q&A includes selected questions received by the Hospice Quality Help Desk during the first quarter of 2023 (January 1 to March 31). There are a handful of questions…

CALL FOR COMMENTS: Medicaid Cost Collection Tool

See the data Email your comments to dterzaghi@nahc.org NO LATER THAN JUNE 16 Responses NOT be shared publicly The Centers for Medicare and Medicaid Services has released a proposed rule that would lead to significant negative impacts on Medicaid home and community-based services by mandating that 80 percent of Medicaid expenditures be passed through in direct…

NAHC Comments on Hospice FY2024 Payment Rule: Rates Have Not Kept Up with Costs

NAHC Provides Guidance on Potential Provider Input Submit your comments HERE by May 30 On Friday, March 31, 2023, the Centers for Medicare & Medicaid Services (CMS) issued Medicare Program; FY 2024 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice Quality Reporting Program Requirements, and Hospice Certifying Physician Provider Enrollment…

New Hospice PEPPER Resources

As previously reported in NAHC Report, the annual Hospice Program for Evaluating Payment Patterns Electronic Report (PEPPER) in 2023 includes two new target areas related to non-hospice spending under Part B while patients are on hospice: Average Number of Medicare Part B Claims for Beneficiaries Residing at Home Average Number of Medicare Part B Claims…

Care Compare Quarterly Refresh for April 2023

The Centers for Medicare & Medicaid Services (CMS) has made the April 2023 quarterly refresh for the Home Health Quality Reporting Program available on the Care Compare webpage. For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) will be based on the standard number of quarters. For additional information on the COVID-19 public…

Questions After the End of The PHE: What Do We Do Now?

The COVID-19 Public Health Emergency (PHE) officially ended on May 11 and providers worked to make sure they were handling associated waivers and flexibilities appropriately. As they focused on everyday operations and regulatory requirements, some questions arose about the COVID-19 vaccination requirements and screening guidance, as well as several other topics. Each topic is discussed…

Expanded HHVBP Model: April PIPR and Updated Measure Calculation Resources

Reminder: April 2023 Pre-Implementation Performance Report Available on iQIES The Centers for Medicare & Medicaid Services (CMS) issued the April 2023 Pre-Implementation Performance Report (PIPR) to competing HHAs via the Internet Quality Improvement Evaluation System (iQIES). Instructions on how to access the PIPR are available on the Expanded HHVBP Model webpage under “Model Reports.” Need…

Renewed ABN Form

Home health and hospice providers are reminded that the Advanced Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, and form instructions have been approved by the Office of Management and Budget for renewal. The use of the renewed form with the expiration date of 01/31/2026 will be mandatory on 6/30/23. Providers may continue to use the ABN form…

Medicare Home Health Prospective Payment System CY 2023: Materials from March Webinar

The Centers for Medicare & Medicaid Services (CMS) has posted materials from the Medicare Home Health Prospective Payment System CY 2023 Behavior Change Recap, 60-Day Episode Construction Overview, and Payment Rate Development webinar. Updated presentation (updates to slide 35 and 42) Audio (Passcode: =u.#r7XD) Transcript See the Home Health Patient-Driven Groupings Model webpage for more…

Expanded HHVBP Model: April 2023 PIPR Available in iQIES

The April 2023 Pre-Implementation Performance Report (PIPR) is available to download from the Internet Quality Improvement Evaluation System (iQIES). Instructions on how to access the PIPR are available on the Expanded HHVBP Model webpage under “Model Reports.” Need Help Understanding your PIPR? To assist HHAs in understanding the purpose, content, and use of the PIPRs, the HHVBP TA Team…