CMS Issues iQIES Log to Assist Providers

The Centers for Medicare & Medicaid Services has released an Internet Quality Improvement and Evaluation System (iQIES) issues log to assist providers and other stakeholders in knowing what processing issues exist and the status of resolution. CMS agreed to develop the log at the request of stakeholders when providers began experiencing multiple problems with OASIS submission…

Future Quality Measures for Home Health and Hospice

The final recommendations for quality Measures Under Consideration (MUC) from the National Quality Forum (NQF) Measures Application Partnership (MAP) have been posted and they include one measure for hospice and one for home health. Both received Conditional Support for Rulemaking from MAP. MUC for the home health quality reporting program (HH QRP) and the hospice…

MedPAC Calls for Cuts to Home Health and Hospice

The Medicare Payment Advisory Commission (MedPAC) recommended a seven percent payment reduction to the base home health payment rate for 2021 and the elimination of the update to the FY2021 base payment rates for hospice, at their meeting on January 16. In past years the commission has recommended a five percent reduction in the home…

CMS Updates Medicare Benefit Policy Manual for Home Health Agencies

The Centers for Medicare & Medicaid (CMS) recently released Transmittal 265/Change Request (CR) 11577 Manual Updates Related to Calendar Year (CY) 2020 Home Health Payment Policy Changes, Maintenance Therapy, and Remote Patient Monitoring This CR updates the Medicare Benefit Policy Manual, (Publication 100-02), Chapter 7, to reflect policy changes finalized in the CY 2019 and…

NAHC Wants Proposals to Build a Summit to Solve America’s Long-Term Care Workforce Problems

The National Association for Home Care & Hospice (NAHC) is extending a request for proposals (RFP) from all interested stakeholders to organize a coalition-based Workforce Summit that will develop evidence-based strategies and solutions to address the workforce challenges faced by the industry. The Workforce Summit will be a catalyst for change, providing specific ideas, plans,…

Open Door Forum Summary: Updates on iQIES Transition Update and Home Health & Hospice

The Centers for Medicare & Medicaid Services (CMS) held a Home Health, Hospice, & DME Open Door Forum (ODF) on January 8, 2020.  A summary is provided below, beginning with home health and followed by hospice. HOME HEALTH iQIES Transition CMS indicated in the ODF that it is aware of several issues with the iQIES…

CMS Announces TEP for Functional Outcome Measures

The Centers for Medicare & Medicaid Services is accepting applications for a technical expert panel (TEP) to develop functional outcome quality measures for the home health setting. The TEP nomination period closes on January 17, 2020. Project Overview: CMS has contracted with Abt Associates to develop functional outcome quality measures for the home health setting.…

Improper Payment Rates for Home Health and Hospice Providers Decreased in 2019

The improper payment rate for home health providers in 2019 dropped 5.5 percent to 12.1 percent, from last years’ rate of 17.6 percent. Non-hospital based hospices had an overall improper payment rate of 8.9 percent, a 2.1 percent drop from 11 percent in 2018 and hospital based hospices had an 18.9 percent improper payment rate,…

Avoid Payment Delays, Register for iQIES Now!

Why register in the upgraded internet Quality Improvement and Evaluation System (iQIES) by December 23? Claims that cannot be matched to assessments will be returned to you, preventing Medicare payment. ( See NAHC Report https://report.nahc.org/action-needed-register-for-an-iqies-account/ ; https://report.nahc.org/reminder-time-is-running-out-to-access-iqies/ ) Beginning January 1, 2020, you must use iQIES to submit patient assessments and view associated reports. You…

Changes to Emergency Preparedness Requirements

A recent final rule released by the Centers for Medicare & Medicaid Services (CMS) relating to burden reduction includes welcome changes to emergency preparedness requirements.  The final rule, Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction; Fire Safety Requirements for Certain Dialysis Facilities; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation,…