A Status Update on the IACS to EIDM Transition for Hospices
March 3, 2015 12:53 PM
Given the requirement that hospices must self-calculate their 2014 aggregate cap using P S & R data and submit it by March 31, NAHC and its affiliate, the Hospice Association of America (HAA) have been tracking the IACS to EIDM systems transition closely. At this time the transition is still on hold, which means that providers may not register in either IACS or EIDM.
As part of the final fiscal year 2015 hospice payment rule, the Centers for Medicare & Medicaid Services (CMS) indicated that it would provide a pro-forma spreadsheet to calculate the cap, as well as instructions to providers so that they would have guidance on the appropriate steps to take.
However, some months back issues arose related to how the cap and the 2 percent sequester, which went into effect in April 2013, interact. Additionally, there was some concern over whether a hospice’s aggregate cap calculation should include the amount of the sequester. CMS and its parent, the Department of Health and Human Services (HHS), have had this issue under scrutiny for some time. CMS has determined that it was inappropriate to issue the cap calculation spreadsheet and instructions without a final determination of whether the cap calculation should include or exclude the sequester.
For more coverage of this transition, please see NAHC Report February 13, 2015.
NAHC and HAA are also waiting for CMS’ release of the cap calculation spreadsheet and instructions to the MACs and will keep members posted on any progress in this area via the appropriate NAHC and HAA listservs as well as in further NAHC Report coverage.
As reported previously, please note that Palmetto has indicated that - for this year only - it will be providing reports to hospice providers for use in self-calculation of the aggregate cap. For additional information on Palmetto’s plans, please click here.