Expanded HHVBP Model – Achievement Thresholds and Benchmarks Now Available on IQIES

The achievement thresholds and benchmarks for each quality measure in the expanded HHVBP Model are now available on the Internet Quality Improvement and Evaluation System (iQIES) portal: https://iqies.cms.gov/. The achievement thresholds and benchmarks were calculated by cohort using quality measure data for the Model baseline year, which is calendar year (CY) 2019 for the CY…

2 New HHVBP Resources Focused on Quality Measures & Improvement

To support home health agencies (HHAs) participating in the expanded Home Health Value Vased Purcahsing (HHVBP) Model, the HHVBP TA Team produced two expanded Model resources focused on quality measures and quality improvement. The on-demand video, Quality Measures Used in the Expanded HHVBP Model, provides measure-specific information on each of the quality measures included in the expanded…

Home Health Quality Update

Many health agencies have experienced problems in the iQIES system that affected how Services Provided values for their agencies were displayed on the HHA Provider Preview reports distributed in February and on Care Compare. (See NAHC Report for more information.) The Center for Medicare & Medicaid Services (CMS) recently released a notice about the systems transition…

Important iQIES Update for Home Health Providers

The Centers for Medicare & Medicaid Services (CMS) previously identified an issue in the iQIES system that may have affected your HHA’s Services Provided values that are displayed on the HHA Provider Preview reports that were distributed in iQIES on 02/23/2022. Moreover, we had previously asked HHAs to review the Services Provided Information on the…

CMS: HHAs Should Review Services Provided Values in iQIES

The Centers for Medicare & Medicaid Services (CMS) identified an iQIES system nuance that may affect your HHA’s Services Provided values that are displayed on the HHA Provider Preview reports for the April 2022 refresh.  These reports were distributed in Internet Quality Improvement and Evaluation System (iQIES) on February 23, 2022. CMS is asking each HHA…

Now in iQIES: Preview Reports & Star Rating for April 2022 Refresh

For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) measure scores are based on the standard number of quarters. The April 2022 refresh will add new OASIS-based measures for public reporting in alignment with the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014: Percent of Residents Experiencing One or More Falls…

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.

HOSPICE QUALITY REPORTING PROGRAM UPDATES

CMS reminded hospices that the FY2024 annual payment update is based on the CY2022 data submissions.  Hospices must comply with the following HIS and Hospice CAHPS Survey participation requirements to avoid the APU penalty which increases to 4% in FY2024.

  • Submit at least 90% of HIS records within the 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 CAHPS Hospice Survey 1/1/22 – 12/31/22

CMS also reminded hospices that it recognizes that there are instances where an extraordinary or extenuating circumstance beyond the hospice’s control (e.g., natural disasters) may delay or prevent submission of required data, and hospices can submit requests for an extension or exemption within 90 days of the extraordinary circumstance event.  NAHC encourages hospices to review the HQRP webpage devoted to these instances for more information and to submit a request for an extension or exemption when warranted.  While the example CMS uses for such a circumstance is a natural disaster there are other circumstances that are out of the hospice’s control and impact its ability to submit quality data such as the current COVID pandemic.

Public reporting for hospices will resume with the February 2022 refresh on Care Compare. This refresh excludes Q1 and Q2 2020 data due to the Public Health Emergency (PHE) exemption of data submission requirements for these quarters.  So, CMS will use fewer quarters of data than usual for this refresh due to this exemption.  CMS plans to post a public reporting tip sheet later this week with more information about public reporting.

The Hospice Quality Reporting Program Quality Measure Specifications User’s Manual v1.00 is now available and reflects changes in the FY2022 hospice final rule, specifically the new Hospice Care Index (HCI) and Hospice Visits in Last Days of Life (HVLDL) measures. Updated documents related to the current measures including the Manual, a change table, and updated measures are available on the Current Measures webpage.

Materials from the HQRP webinar CMS held on October 19 are available in the Downloads section of the Provider & Stakeholder Engagement webpage.

Hospices should review documents available in the Downloads and Provider Toolkit sections of the Requirements & Best Practices webpage as there are updated provider resource documents available.

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…

Quality Reporting Programs, Payment Update Rules Covered by CMS Open Door Forum

  The Centers for Medicare & Medicaid Services (CMS) held a Home Health, Hospice, & DME Open Door Forum on August 26, 2021.  A summary of the contents for home health and hospice is below. We begin with hospice. HOSPICE CMS shared some of the FY2022 Hospice Payment Policy final rule provisions.  A detailed summary…

CMS Updated Provider Demographic Data Process

The Centers for Medicare & Medicaid Services (CMS) will be transitioning to a new data source for a provider’s demographic data for hospice and home health agencies as well as other Post-Acute Care (PAC) provider types (Skilled Nursing Facilities / Nursing Facilities (SNF/NFs), Inpatient Rehabilitation Facilities (IRFs), and Long-Term Care Hospitals (LTCHs)). While not specified…