CMS Open Door Forum Summary: Home Health

The Centers for Medicare and Medicaid Services (CMS) held a Home Health, Hospice, and DME Open Door Forum on September 21, 2022. The summary of the Forum applicable to home health and hospice providers is below. Home Health Value Based Purchasing (HHVBP) The Home Health Value Based Purchasing (HHVBP) program is scheduled to begin January…

CMS Releases Quarterly OASIS FAQs

The Centers for Medicare and Medicaid Services (CMS) has released the July, 2022 Quarterly Outcome and Assessment Information Set (OASIS) FAQs. The release clarifies questions on items that are included in the OASIS-E.  Items D0150 and D0160,  Patient Mood Interview (PHQ2-9),are addressed regarding scoring for the total points and when the interview should be stopped…

Preview Reports and Star Rating Preview Reports for the October 2022 Refresh

For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) will be based on the standard number of quarters. Due to the COVID-19 reporting exceptions, the claims-based measures have been calculated excluding Q1 and Q2 2020 data from measure calculations. The HH QRP claims-based quality measures will not be refreshed for the October…

CMS Proposed Rule Risks Stability of Home Health Care

NAHC analysis of payment information & more The Centers for Medicare and Medicaid Services (CMS) issued its annual proposed rule regarding Medicare home health services payment rates for CY 2023. As usual, the rule also includes a hodgepodge of non-rate related proposals as well. This article provides a summary of the proposed rule. NAHC will…

OIG Workplan to Include OASIS Falls Reporting & Post-acute Transfer Policy

The Department of Health & Human Services Office of the Inspector General (OIG) reported the addition of a new study and a new audit that should be of interest to the home health and hospice communities. These alerts to the public via daily updates of new audits and reports is part of the OIG Work Plan. The…

What You Need to Know About the CMS Open Door Forum

During the most recent Centers for Medicare & Medicaid Services (CMS) Home Health, Hospice, and DME (Durable Medicare Equipment) Open Door Forum (ODF), the following information and updates were provided:

FY2023 Hospice Proposed Rule

CMS provided a brief update of the proposed payment rate update (2.7%), wage index changes, and other aspects of the recently released FY2023 hospice proposed rule.  See the detailed NAHC summary and a link to the NAHC recorded webinar here.

Hospice Quality Reporting Program

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

Public reporting of the new claims-based measures

  • Hospice Care Index (HCI), and
  • Hospice Visits in Last Days of Life (HVLDL)

will occur with the May 2022 refresh of Care Compare.  The Provider Preview Reports for this refresh were made available to hospices in their CASPER folders in March.  Hospices should note that the Preview Reports drop off their CASPER folder after 60 days; therefore, hospices are encouraged to download and save or print these reports for future reference.

CAHPS Hospice Survey Star Rating will be reported in August 2022.  It will NOT be reported with the May Care Compare refresh.

What You Need to Know About the CMS Open Door Forum

During the most recent Centers for Medicare & Medicaid Services (CMS) Home Health, Hospice, and DME (Durable Medicare Equipment) Open Door Forum (ODF), the following information and updates were provided: HOSPICE FY2023 Hospice Proposed Rule CMS provided a brief update of the proposed payment rate update (2.7%), wage index changes, and other aspects of the…

Home Health Value Based Purchasing Updates

This Home Health Value Based Purchasing (HHVBP) update is intended to provide home health agencies (HHAs) with the latest information about the expanded HHVBP Model as well as important tools, news, and timely insights from the Centers for Medicare & Medicaid Services (CMS) and the HHVBP Model Technical Assistance (TA) Team. How are Baseline Years used…

CMS Provides Quality Reporting and Other Updates in Most Recent Open Door Forum

This article covers only the hospice portion of the most recent CMS Open Door Forum. To read about the home health portion, please see this NAHC Report article.

During the most recent Centers for Medicare & Medicaid Services (CMS) Home Health, Hospice, and DME (Durable Medicare Equipment) Open Door Forum (ODF), the following information and updates were provided.

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

The February 2022 quarterly refresh for the Hospice Quality Reporting Program is now available on Care Compare. Public reporting of quality measure data has resumed following the temporary exemption to HQRP data submission requirements, and the subsequent data freeze after the November 2020 refresh. Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey measure scores continue to exclude Quarter 1 and Quarter 2 of calendar year 2020.

In December 2021 CMS released revised data for the Hospice Care Index (HCI) in the hospice level Quality Measure (QM) reports available to hospices in their CASPER folder.  CMS identified an issue with the national averages calculations and corrected these in the reports.

CMS is targeting the Care Compare refresh in May 2022 for public display of the HCI and Hospice Visits in Last Days of Life (HVLDL) claims-based measures.

Hospices can access resources available to them regarding the Hospice Quality Reporting Program (HQRP) here.

CMS Provides Quality Reporting and Other Updates in Most Recent Open Door Forum

During the most recent Centers for Medicare & Medicaid Services (CMS) Home Health, Hospice, and DME (Durable Medicare Equipment) Open Door Forum (ODF), the following information and updates were provided. HOME HEALTH Home Health Claims Processing Issues Notice of Admission                            CMS officials reported on  a claims processing issue where the NOA is returning to providers…