CMS Issues Final FY2022 Hospice Payment Rule and Quality Reporting Program Update

Payment Update drops to 2.0%, “Labor Shares” Undergo Slight Adjustment Late on Thursday, July 29, the Centers for Medicare & Medicaid Services (CMS) released a final rule governing hospice payment and policy changes for fiscal year 2022 (FY2022). While the final rule does not stray far from that proposed on April 8, there are some changes:…

CMS Issues Quarterly OASIS FAQs

The Centers for Medicare & Medicaid Services (CMS) has issued the July, 2021 quarterly Outcome and Assessment Information Set (OASIS) frequently asked questions (FAQs). The FAQs clarify issues related to assessment time frame, conditions for a valid referral, look-back period for risk for hospitalization, wound assessment, and medication intervention time frame. CMS also responded to…

NAHC Seeks Feedback on Proposed Changes to Home Health COPs

In the CY2022 home health rate update proposed rule, the Centers for Medicare & Medicaid Services (CMS) is proposing several changes to the Conditions of Participation at §484.80 for the home care aide supervisory visits. Although, for the most part, the changes are welcomed, there might be some areas of concern for home health providers.…

CMS Issues System Changes for the Home Health NOA

The Centers for Medicare & Medicaid Services’ (CMS) Change Request 12227 outlines the business requirements describing the changes to the Medicare systems to implement processing of the notice of admission (NOA) and claims.  NOAs will be submitted using type of bill (TOB) 32A and may be cancelled using TOB 032D. All claims for periods of…

CMS Updates ABN Chapter of the Medicare Claims Processing Manual

The Centers for Medicare & Medicaid Services (CMS) recently revised the Advance Beneficiary Notice of Non-coverage (ABN) section 50 in chapter 30 of Pub. 100-04, Medicare Claims Processing Manual via Transmittal l 10862/Change Request (CR) 12242. The changes are primarily a reorganization of the material, clarifications, and updates.  For instance, some of the examples used…

Proposed Physician Payment Rule Addresses Attending Physician Services Provided by RHCs, FQHCs

–CMS Proposes Part D EPCS Exceptions that Exclude Hospice Waiver The Centers for Medicare & Medicaid Services (CMS) recently issued its proposed CY2022 physician payment rule  and, as is frequently the case, the rule addresses some issues relevant to hospice care (as well as other matters).  This article will discuss two hospice issues: Proposed implementing…

Hospice Quality Reporting Program Update

The Centers for Medicare & Medicaid Services (CMS) has recently completed its review of hospice provider compliance with the Hospice Quality Reporting Program (HQRP) requirements. Hospices that were determined to be out of compliance with the requirements for calendar year (CY) 2020 can find the non-compliance notifications in their CASPER folders in QIES. Hospices that…

Take this Survey on Home Health Aide Adequacy

TAKE THE SURVEY NOW! As part of the 2022 proposed home health rate update rule, the Centers for Medicare & Medicaid Services (CMS) is asking for information on the adequacy of home health aide staffing. This request is made in response to a 2019 MedPac Report that noted between 1998 and 2017 home health visits declined…

Important CMS Quality Webinar

The Centers for Medicare & Medicaid Services (CMS) will present an important new webinar, Driving Quality in the US: How CMS Evaluates its Measure Portfolio, intended to inform audiences about CMS’s efforts to enhance the quality of quality measures. The webinar will walk audiences through CMS tools and processes, specifically the MMS Blueprint, Pre-rulemaking process, Quality Measure…

CMS Open Door Forum Covers Home Health Payment Updates & Hospice Survey Reforms

The Centers for Medicare & Medicaid Services (CMS) Open Door Forum (ODF) for home health, hospice and durable medical equipment (DME) providers on June 30, 2021 covered the CY2022 home health proposed rule that was released at the end of last week, and the remainder included some quality reporting and other updates for home health…