Tag: Hospice

Hospice pays $500,000 after allegedly failing to recertify terminal illness

After it self-disclosed conduct, an Alabama-based hospice provider agreed to pay $500,000 for allegedly violating the Civil Monetary Penalties Law, according to a release from the Department of Health and Human Services Office of Inspector General (OIG). OIG alleged that the hospice submitted claims to Medicare for hospice services that lacked recertifications of terminal illness, […]

Breaking: 2022 proposed rule could mean national HHVBP and changes to PDGM

CMS has announced a national expansion of the Home Health Value-Based Purchasing (HHVBP) model beginning Jan. 1, 2022. It’s one of several changes introduced in the CY 2022 Home Health Prospective Payment System proposed rule, released Monday, June 28, 2021. Previously, the nine-state HHVBP model focused on payment adjustments higher and lower compared to other […]

Hospice providers selected for alpha testing of HOPE assessment

CMS announced 20 Medicare-certified hospice providers who have been selected to participate in the alpha testing phase of development for the Hospice Outcomes & Patient Evaluation (HOPE) assessment have been selected, according to CMS. The HOPE will provide standardized data as all Medicare-certified hospices will be collecting the same assessment items for all patients. This […]

Updated Hospice Provider Preview Reports now available

Updated Hospice Item Set (HIS) provider preview reports and Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey provider preview reports are now available, as posted on the CMS website. Hospice providers are encouraged to review their HIS quality measure results from Quarter 4, 2018 to Quarter 3, 2019, and their facility-level CAHPS® survey […]

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 […]