LeadingAge Hospice Member Network Call
Join us on Tuesday, May 10th, at 1:00 PM CT, for the Hospice Member Network call. We’ll be discussing LeadingAge’s response to the FY2023 Hospice Wage Index Proposed Rule and how members can respond...
Hospice Visits in the Last Days of Life Clarification
On April 14, 2022, CMS inadvertently posted an announcement about the National Quality Forum (NQF) endorsement of the claims-based measure, Hospice Visits in the Last Days of Life, or HVLDLas NQF #3645. At this time NQF...
MLN Clarifies Hospice Aggregate & Inpatient Caps Under VBID
In an MLN article this week, CMS clarifies that Medicare patients enrolled in a Medicare Advantage plans that are participating in the Value-Based Insurance Design (VBID) Model’s Hospice Benefit Component cannot be included in a hospice’s aggregate &...
Hospice PEPPER Reports Now Available
The hospice PEPPER reports were released recently. These reports are an educational tool that summarizes individual hospice data statistics for Medicare services that may be at risk for improper payments pre-CMS guidance. The data...
Hospice Visits in the Last Days of Life Measure Goes Live in May
In February 2022, the National Quality Forum (NQF) endorsed, through their consensus process, the claims-based measure, Hospice Visits in the Last Days of Life, or HVLDL. HVLDL reflects the proportion of hospice patients who received...
CMS Hospice Public Reporting Key Dates for Hospices
CMS updated their website listing the key reporting dates for hospice agencies. This includes schedules refreshes of the Care Compare website, upcoming data correction deadlines for public reporting, and the CAHPS Hospice Survey upcoming data submission...
Inpatient Hospice 1135 Waivers Ending
CMS released a memo stating that certain waivers pertaining to in-patient hospices will lapse in 60 days from the issuance of today’s memo. Specifically, there are four waivers around life safety codes, facility and equipment inspection,...
MLN Article on Value-Based Insurance Design Model Hospice Services
This week’s MLN reviewed the Value-Based Insured Design Model payment for hospice services. Under the Hospice Benefit Component of the Value-Based Insurance Design (VBID) Model, participating Medicare Advantage Organizations (MAOs) retain responsibility for all Original Medicare...
Hospice Cost Reports Now Capturing Assisted Suicide Data
CMS updated requirements for hospice cost reports to collect non-reimbursable costs associated with assisted suicide. For hospices located in states that allow suicide accomplished with the aid of a physician, hospices will now need to enter...
Hospice Quality Reporting Program TEP Update
CMS released a Summary Report from the Hospice Quality Reported Program Technical Expert Panel (TEP). The report covers the conversations of the TEP a number of issues which will inform the development of the Hospice Outcome...
Hospice Care Compare Refresh Now Available
The February 2022 quarterly Hospice Quality Reporting Program has gone live on Care Compare. Data submission requirements were temporarily put on hold after the November 2020 refresh. The Hospice CAHPS Survey measure scores continue to...
CMS Ending Gap Billing Between Hospice Transfers
CMS recently issued a Change Request (CR) 11258 to update sections of Chapter 11 in the Medicare Claims Processing Manual to CMS. Starting in July 2022, MACs will have new system edits to prevent gap billing...