CMS Open Door Forum: Home Health F2F, Hospice Payment Reform, ICD-10 Testing and CAHPS Hospice Survey Updates
January 16, 2015 02:34 PM
Earlier this week, CMS held a Home Health, Hospice, and DME Open Door Forum. Hospice payment reform research, ICD-10 testing updates, and hospice CAHPS were on the agenda. A summary of each area of focus is provided below.
Home Health Face-to-face (F2F)
CMS’ Randy Throndset opened the call with a reference to the home health F2F requirement, commenting that they are aware of the great deal of interest that the issue has generated, and that CMS is currently working on the issue and will have guidance for the home health community as soon as possible.
Hospice Payment Reform
A representative of Abt Associates, the contractor charged with gathering data pertaining to hospice payment reform, provided a brief overview of the payment reform principles, key topics from the 2013 and 2014 hospice study technical report (HSTR), payment reform outreach activities performed thus far, and a summary of payment reform concepts and key findings to consider. No new information was released and no proposals were made.
The information shared is in a slide presentation that can be accessed here.
A call participant asked CMS if there was any other work to be done on hospice payment reform - or if a reform proposal would be coming soon. CMS responded by saying that this is a continual body of work with a lot of input. CMS is working with that and doing significant analysis. However, there is no particular rule making period or timeline that has been identified for when a payment reform proposal would be made.
ICD-10 Testing Updates
CMS reviewed the testing completed thus far as well as planned future testing. No problems have been identified with CMS systems in the testing, and CMS’ claims processing systems have been ready for ICD-10 implementation since October 1, 2013, but continues to test with each quarterly update release. CMS has four quarterly updates to its claims processing system each year. No problems are expected to arise during the remaining testing. Any provider can sign up for the future testing dates March 2-6, 2015 and June 1-5, 2015.
More information can be found on the CMS ICD-10 webpage here.
Unless a hospice had fewer than 50 eligible decedents between January 1 – December 31, 2014, it must participate in at least one month of the CAHPS hospice survey’s dry run. The dry run takes place in the first quarter of 2015. Hospices must participate in at least one month of the dry run and may participate in all three months, if desired. In order to participate hospices must select, contract with, and authorize a CMS-approved vendor. Authorization requires the hospice to complete a form and submit it to CMS. In addition to selecting, contracting with and authorizing a vendor, a hospice must also request access to its data. If a hospice believes it is exempt from the CAHPS hospice survey due to its size, it must complete an exemption for size form and submit it to CMS. All the forms hospices must complete and much other information about hospice CAHPS is available on the website at www.hospicecahpssurvey.org.
The next CMS Home Health, Hospice and DME Open Door Forum is scheduled for February 25, 2015.