Told Your Hospice Didn’t Meet HQRP Reporting Requirements? How to Request Reconsideration
In order to comply with Hospice Quality Reporting Program (HQRP) requirements that affect the annual payment update (APU) for fiscal year (FY) 2014, hospice providers with a valid Centers for Medicare & Medicaid Services (CMS) Certification Number (CCN) as of October 1, 2012 are required to submit data for the structural measure by January 31, 2013. Data for the NQF #0209 Pain Measure must be submitted by April 1, 2013.
Providers that were required to submit data but missed either deadline may be found non-compliant and subject to a 2 percentage point reduction in their APU for 2014.
In June 2013, CMS began notifying, by way of the Medicare Administrative Contractors (MACs), hospices that failed to meet the HQRP requirements. Providers who receive notification of non-compliance will have the opportunity to submit reconsideration requests prior to any reduction in payment.