CMS Submits OASIS-E to OMB

The Office of Management & Budget (OMB) has issued the information collection packet for the Outcome and Assessment Information Set (OASIS)-E, which includes three attachments and the Supporting Statement document outlining the burden estimate for both home health agencies (HHAs)  and the federal government. The OASIS-E assessment tool is effective January 1, 2023. Attachment A…

Updated OASIS-E Released

The Centers for Medicare & Medicaid Services (CMS) has issued an updated draft of the Outcome and Assessment Information Set (OASIS)- E. The instrument is a revision of the OASIS-E that was originally issued in March 2020, prior to the COVID-19 public health emergency. The updated version includes the addition of the “patient declines to…

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…

OASIS-D Instrument Use Extended

On November 23, 2021 the Office of Management and Budget (OMB) approved the extension for the continued use of the Outcome and Assessment Information Set (OASIS)-D instrument with a new expiration date of November 23, 2024. Providers collecting OASIS on paper may use up any current inventory prior to using the instruments with the updated…

CMS Proposes to Test New Mode for HHCAHPs and Shortened Survey Tool

The Centers for Medicare & Medicaid Services (CMS) has submitted a proposal to conduct a mode experiment to test the effects of a web-based mode on response rates and scores, to the Office of Management and Budget. The CMS proposal, an information collection request titled The Home Health Care CAHPS® Survey (HHCAHPS) Mode Experiment, would…

OSHA Seeks Comments on Bloodborne Pathogen Standards

The Occupational Safety and Health Administration (OSHA) is seeking public comments on its Bloodborne Pathogen Standards.  The Bloodborne Pathogen Standards are due for the three year Office of Management and Budget renewal under the Paperwork Reduction Act. As part of this renewal, OSHA has a particular interest in comments on the following issues:  Whether the…

OMB Approves Advance Beneficiary Notice of Non-Coverage Form for Renewal

The Advance Beneficiary Notice of Non–coverage (ABN), Form CMS-R-131, and form instructions have been approved by the Office of Management and Budget (OMB) for renewal. The ABN form is renewed every three years in accord with Paperwork Reduction Act. The use of the renewed form with the expiration date of June 30, 2023 will be mandatory…

NEW HHCCN Form for Home Health Agencies

The Office of Management and Budget (OMB) has approved the renewal of the Home Health Change of Care (HHCCN) Form, CMS-10280. Effective July 1, 2019, all Home Health Agencies (HHA) will be required to use the renewed form with the expiration date of 4/30/2022 on the bottom.  Please note that HHAs may continue to use…

In Light of New Evidence, NAHC Pushes OMB, CMS to Back off Review Choice Demonstration

The National Association for Home Care & Hospice (NAHC) is calling on the Office of Budget Management (OMB) and the Centers for Medicare & Medicaid Services (CMS) to stop the planned Review Choice Demonstration (RCD) before it begins, in light of new evidence showing that “improper payments” in home health have been rapidly declining without…