Hospice QRP Data Deadline: 11:59 p.m. on Tuesday, April 1, 2014; Gearing up for HIS and HIS-related Clarifications from CMS
April 1, 2014 09:42 AM
As part of the Hospice Quality Reporting Program (HQRP), the Centers for Medicare & Medicaid Services (CMS) set a hard deadline of 11:59 p.m. on April 1, 2014, for reporting of data that will impact Fiscal Year (FY) 2015 payments. As presented by CMS during the March 5, 2014 Home Health, Hospice & Durable Medical Equipment Open Door Forum (ODF), the FY 2015 Reporting Cycle consists of reporting on two measures: the structural measure and the National Quality Forum (NQF) #0209 pain measure collected during Calendar Year 2013.The Technical User’s Guide, posted on the Data Submission web page is the primary reference for the HQRP Data Entry and Submission Site for the FY 2015 Reporting Cycle. Please also refer to this User Guide for information on data collection and how providers will aggregate the NQF #0209 data.
Onward to HIS/CMS Provides Clarification
While hospice providers stopped collection of data related to NQF #0209 and the structural measure for the HQRP on Jan. 1, 2014, they should be gearing up for collection of data related to the Hospice Item Set (HIS); beginning July 1, 2014, Medicare-certified hospices must submit a HIS-Admission and HIS-Discharge record for each patient admission occurring on or after July 1. A recording of the HIS training, originally presented on Feb. 4 and 5, is now available here.
This training covers HIS data collection processes including item-specific instructions for each item in the HIS, along with tips and examples for HIS items. The HIS Training follows closely along with the HIS Manual and covers these HIS Training Slides. The Manual is an essential tool in understanding how to complete the HIS; it is recommended that you review the Manual prior to viewing the training. Please also remember that the HIS Technical Training covering technical submission processes and data submission software will be provided online in May. Additional information about that training will be announced at a later date.
In late March CMS posted a fact sheet containing guidance on updating the HIS Admission Record care process items in Sections F, J, and N; as part of the fact sheet CMS clarifies that hospices are not REQUIRED [emphasis added] to update care process items on the HIS Admission Record. CMS provides this clarification as it has been pointed out that a patient may not have a prescribed opioid during initial days on hospice care but may have one prescribed subsequent to the deadline for submission of the HIS-Admission and hospices have sought guidance as to whether they should revise the HIS-Admission to reflect the change in care.