CMS to Host a Call on the New Home Health Quality Assessment Reporting Requirement
May 22, 2015 02:18 PM
The Centers for Medicare & Medicaid Services (CMS) will host a Special Open Door Forum (SODF) on Tuesday, June 2, 2015, 1:30pm – 2:30pm ET to provide home health agencies (HHAs) and other interested parties with additional information on the new “Pay-for-Reporting Performance Requirement” described in the CY2015 Home Health Final Rule. The first 12-month reporting period for the new Quality Assessments Only (QAO) measure begins July 1, 2015; HHA compliance will potentially affect the Annual Payment Update (APU) for CY 2017.
In the CY 2015 Home Health Final Rule, CMS established a new “Pay-for-Reporting” performance requirement with which provider compliance with quality reporting requirements will be measured.
This quality performance requirement is driven by the principle that each HHA is expected to submit a minimum set of two “matching” Outcome and Assessment Information Set (OASIS) assessments for each patient admitted to their agency. There are several scenarios that define a “matching” OASIS assessment for the new pay-for-reporting performance requirement. These scenarios make up “quality assessments” which are defined as assessments that create a quality episode of care during the reporting period.
For episodes beginning on or after July 1st, 2015 and before June 30th, 2016, HHAs must submit at least 70 percent of their “quality assessments” or be subject to a 2 percentage point reduction to their market basket update for CY 2017.
CMS stated, in the final rule, their intent to provide each HHA with a “hypothetical performance” report prior to the July 1, 2015 implementation date.
A link to the materials for this SODF, including a slide deck, a summary of the QAO methodology, and a sample QAO Historical Performance Report, will be posted on the Home Health Quality Reporting Program web page here.
Special Open Door Participation Instructions:
Participant Dial-In Number: 1-800-837-1935
Conference ID #: 6140706