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…

New Date! CMS Open Door Forum to Focus on OASIS, Hospice Rule, More

The next Home Health, Hospice & DME Open Door Forum is scheduled for Wednesday, April 20, 2022 PM at 2:00-3:00 PM Eastern Time (ET). This call will be Conference Call Only. Open Door Participation Instructions: To participate by phone, dial: 1-888-455-1397 & Reference Conference Passcode: 5109694 Please call at least 15 minutes prior to the forum start…

New CMS Open Door Forum to Focus on Hospice Rule, HQRP, More

The next Home Health, Hospice & DME Open Door Forum is scheduled for Wednesday, April 20, 2022 PM at 2:00-3:00 PM Eastern Time (ET).

This call will be Conference Call Only.

Open Door Participation Instructions:

To participate by phone, dial: 1-888-455-1397 & Reference Conference Passcode: 5109694

Please call at least 15 minutes prior to the forum start time.

  • Opening Remarks

Chair – Brian Slater, Center for Medicare, CMS

Co-Chair- Kelly Vontran, Center for Medicare, CMS

Moderator – Jill Darling, Office of Communications, CMS

  • Announcements & Updates
    • FY 2023 Hospice Proposed Rule
    • Hospice
      • Rulemaking: Updates on the FY 2023 Hospice Proposed Rule
      • New Resources available for the HQRP
      • Public Reporting: (May 2022 refresh updates)
    • Home Health
      • OASIS
      • Public Reporting (updates on the Interim QAO Performance Reports and the April and July refresh)
    • Home Health Services information on Care Compare
    • Home Health CAHPS Survey Update

III. Open Q&A

 

 

Persons participating by phone do not need to RSVP. TTY Communications Relay Services are available for the Hearing Impaired.  For TTY services dial 7-1-1 or 1-800-855-2880. A Relay Communications Assistant will help.

Instant Replay: 1- 866-430-8798; Conference Passcode: No Passcode Needed

Instant Replay is an audio recording of this call that can be accessed by dialing 1-866-430-8798, 1 hour after the call has ended. The recording expires April 9, 2022, 11:59 PM ET.

New CMS Open Door Forum to Focus on OASIS, Hospice Rule, More

The next Home Health, Hospice & DME Open Door Forum is scheduled for Wednesday, April 20, 2022 PM at 2:00-3:00 PM Eastern Time (ET). This call will be Conference Call Only. Open Door Participation Instructions: To participate by phone, dial: 1-888-455-1397 & Reference Conference Passcode: 5109694 Please call at least 15 minutes prior to the…

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…

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…

New CMS Open Door Forum on November 10

The next Home Health, Hospice & DME Open Door Forum is scheduled for Wednesday, November 10, 2021 PM at 2:00-3:00 PM Eastern Time (ET). Please call at least 15 minutes prior to the forum start time. **This Agenda is Subject to Change** Opening Remarks Chair – Brian Slater, Center for Medicare, CMS Moderator – Jill…