Tag: Hospice

CMS updates hospice quality review program

CMS has released its updates for the first quarter (January to March 2020) Hospice Quality Reporting Program (HQRP). The update includes Hospice QRP requirements and information CMS gathered for the development of the Hospice Outcome & Patient Evaluation (HOPE) tool. Additionally, CMS has been recruiting hospice providers to participate in a HOPE field test (called […]

CMS provides COVID-19 nursing home information for home health and hospice

CMS’ Quality, Safety and Oversight (QSO) group released a memo directed to nursing homes that is helpful for home health and hospice providers. The memo provides guidance on reporting COVID-19 to residents, representatives and families of residents, as well as reporting the data directly to the CDC. CMS will also begin posting data from the […]

CMS issues more 1135 hospice waivers during COVID-19

CMS has issued more 1135 hospice waivers for the duration of COVID-19. Specifically, annual onsite supervisory visits for aides that provide services through an agency will be postponed. CMS is also changing §418.58(a)–(d) and §484.65(a)–(d) to limit the scope of the QAPI program to focus on infection control issues. The requirement that activities should focus […]

To receive Medicare hospice benefit, patient must be certified as terminally ill

In order for a patient to receive the Medicare hospice benefit, the patient must be certified as terminally ill, according to a cgsmedicare webpage. The certification/recertification is an important part of required documentation for Medicare payment for the hospice services provided. A common reason for hospice certification errors are related to a missing or invalid […]

CMS rule touches on homebound and telehealth usage for HH and hospice

CMS issued an interim final rule on March 30 that provides some clarification for agencies dealing with the public health emergency. A few key points in the rule: CMS acknowledges that telehealth may be used in home health but that telehealth visits are not billable. In certain cases, a patient who is quarantining at home […]

Hospice concerns addressed through revised legislation

Concerns regarding compliance with quality and safety standards under the Hospice Conditions of Participation were addressed through legislation recently introduced by two members of the House Ways & Means Committee, Rep. Jimmy Panetta and Rep. Tom Reed. The legislation entitled, “Helping Our Senior Population in Comfort Environments Act (HOSPICE Act),” was scheduled to be marked […]

CMS announces webinar on Hospice Item Set submission requirements

CMS announced a new webinar designed to provide an overview of the Hospice Item Set (HIS) and submission requirements. The webinar is scheduled to take place 2-3 p.m. EST on March 3, 2020. The webinar will cover a general overview of the Hospice Quality Reporting Program, CAHPS submission and exemptions, basic instructions for completing the […]

CMS now accepting applications for model adding hospice benefit into Medicare Advantage

CMS has issued a request for applications (RFA) for the hospice benefit component of Medicare Advantage Value-Based Insurance Design (VBID) model. Details on plans are included in the RFA. Completed applications are due to CMS by 11:59 p.m. March 16, 2020. The new component would give Medicare Advantage organizations the opportunity to add the Medicare hospice benefit […]

Reminder: Changes to emergency preparedness requirements are in effect

Changes to emergency preparedness requirements are now in effect, and several of those changes apply to both home health and hospice. A final rule designed to reduce burden took effect Nov. 29, 2019, and includes the following changes to emergency preparedness requirements: Removed a requirement to document efforts to contact local, tribal, regional, state and […]

GAO report: Give CMS more power to enforce hospice safety requirements

The U.S. Government Accountability Office (GAO) recommends giving CMS the authority to “enforce remedies” for hospices that fail to meet federal health and safety requirements, according to a November report. The study found that in 2017, 472 hospice providers discharged at least 50% of beneficiaries before death. And 83 providers didn’t have hospice staff visit beneficiaries within the […]