CMS Posts Hospice Quality Reporting Updates
August 4, 2015 04:07 PM
The Centers for Medicare & Medicaid Services (CMS) has posted the following updates related to the Hospice Quality Reporting Program (HQRP) on its hospice quality-related websites:
HOSPICE HIS UPDATES
IMPORTANT: Hospice providers should review all Final Validation reports to confirm successful submission and processing of HIS data (posted August 3, 2015)
As part of the HIS reporting requirements, hospices must submit required HIS–Admission and HIS-Discharge records to CMS’s Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system. In order to successfully submit records to the QIES ASAP system, HIS data must be converted into the proper electronic file format (XML) using either the Hospice Abstraction Reporting Tool (HART) software, which is free to download and use, or a vendor-designed software.
Please note that when an HIS file is uploaded to the QIES ASAP system, providers should receive two confirmation messages: an “Upload Completed” message and a “Submission Received” message. These confirmation messages only indicate that the file has been submitted to QIES; they do not indicate that the file has been successfully processed and received by CMS. Once a file is submitted, it may take up to 24 hours for processing to complete. When processing is complete, providers should return to the Hospice File Submission system to verify the status of the file and then proceed with locating the system-generated Hospice Final Validation report in the CASPER Reporting application to verify that all records were successfully processed without error. To demonstrate compliance with HIS reporting requirements, providers should print and retain Final Validation reports as evidence of successful submission and processing of HIS records. Please note that hospice reports are automatically removed from the CASPER Reporting application after 60 days. If 1) a Final Validation report is not received following the submission of HIS records or 2) a Final Validation report is received with fatal errors listed, the submission and processing was not successful. In these instances, the provider must correct any errors and resubmit relevant HIS records to the QIES ASAP system. For instructions detailing how to check the submission status of a file and access Final Validation reports, please refer to Appendix A of the CASPER Reporting Hospice Provider User’s Guide: https://www.qtso.com/download/Guides/hospice/cspr_appA_hospc_prvdr.pdf. If you have any questions about verifying that a submission was successfully received and processed, please contact the QTSO Help Desk at email@example.com or at 1-877-201-4721 (Monday-Friday from 7:00 AM – 7:00 PM CT).
Compliance with HIS reporting requirements is determined based on HIS data that is successfully submitted to and processed by the QIES ASAP system. If a Final Validation report demonstrating successful submission and processing is not received, this indicates that the relevant HIS record was not received by CMS and thus the hospice may not be in compliance with HIS reporting requirements and may be subject to a 2 point reduction in their APU determination.
6/17 MLN Connects National Provider Call presentation slides, recording, transcription and FAQ document now available for provider download
CMS hosted an HIS-focused MLN Connects National Provider Call on June 17, 2015. This presentation covered updates that were made to the HIS Manual from V1.01 to V1.02. There are several downloads available from this call:
HOSPICE CAHPS UPDATE
MARK YOUR CALENDAR! 2015 CAHPS Hospice Survey Training Set for Sept. 30 (posted July 30, 2015)
The 2015 CAHPS Hospice Survey Training will be conducted on September 30, 2015. Additional details related to the upcoming training will be posted on the CAHPS Hospice Survey Web site (www.hospicecahpssurvey.org) closer to the scheduled training date.