May 7 Online Forum Will Explain New Home Health Rating System

CMS is holding a one-hour, web-based open door forum on May 7 at 1:30-2:30 p.m. EST to explain the new set of star ratings for the Home Health Compare website. CMS will use the Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS) survey results to create Patient Survey Star Ratings for the Home Health Compare website.  The forum will describe the rationale and overview of the patient survey star ratings.

Click here to read more.

CMS To Remove Social Security Numbers From Medicare Beneficiary Cards

CMS has a new mandate to remove Social Security numbers from enrollees’ cards after being warned for more than 10 years by government investigators to remove them. The new requirement is part of a major Medicare payment reform bill signed in law just last week. CMS now has four years to begin issuing new Social Security cards without the numbers, and up to eight years to issue replacement cards to more than 50 million existing enrollees. The conversion is expected to cost $320 million and will be paid from Medicare trust funds. Social Security numbers on the Medicare cards will be replaced by a randomly generated identifier, according to officials.

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CMS Open Door Forum On Home Health Documentation On April 28

In FY 2014, the Comprehensive Error Rate Testing (CERT) program found that more than half (51.4%) of home health claims were paid improperly. Approximately 90% of the 1308 CERT-reviewed claim lines in error were found to “have insufficient documentation errors.”

CMS is now considering developing a voluntary electronic clinical template and a voluntary home health paper clinical template to assist physicians and practitioners in documenting patient eligibility for the Medicare home health benefit. Using clinical templates may reduce the burden on physicians and practitioners who order home health services, according to CMS. The templates have been in the development process for the past year. As part of this process, CMS has been hosting a series of Special Open Door Forum calls to provide an opportunity for physicians/practitioners, home health agencies, and other interested parties to provide feedback on the draft templates. The final Open Door Forum to discuss these templates will be Tuesday, April 28, 2015 at 1:30p.m. EST.

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CMS Issues Hospice Quality Updates

CMS has issued updates related to both components of the Hospice Quality Reporting Program (HQRP) – the Hospice Item Set (HIS) and the Consumer Assessment of Healthcare Providers and Systems (CAHPS).

CMS has issued three new CASPER reports for the HIS, and, in relation to the CAHPS hospice survey, a reminder that hospices must complete and submit the CAHPS Hospice Survey Vendor Authorization Form by May 1. CMS has also released a CAHPS Hospice Survey FACT Sheet and updated the FAQ page.

Click here for more details.

Attention Hospices: CMS To Reissue CR 9114

Last week, NAHC received notification from staff at CMS that CMS plans to reissue Change Request (CR) 9114. The reissue is in response to concerns and questions many have raised about the requirement that hospices include the name and National Provider Identifier (NPI) number of the attending physicians on the patient’s election statement. NAHC has previously expressed concerns to CMS about the original language and sought clarification after it was released.

From NAHC:

The following is the previously issued language to be revised:

“Information identifying the attending physician recorded on the election statement should provide enough detail so that it is clear which physician or Nurse Practitioner (NP) was designated as the attending physician. This must include, but is not limited to, the attending physician’s name and NPI number.”

Here is the revised language:

“Information identifying the attending physician recorded on the election statement should provide enough detail so that it is clear which physician or Nurse Practitioner (NP) was designated as the attending physician.  This information should include, but is not limited to, the attending physician’s full name, office address, NPI number, or any other detailed information to clearly identify the attending physician.”

Click here for more information from NAHC.

Tiptastic Tuesday: CMS Posts CAHPS Hospice Survey Info

CMS has issued two new items on its HOSPICE CAHPS WEBSITE related to the CAHPS Hospice Survey Vendor Authorization and a CAHPS Hospice Survey Fact Sheet.

The following are CMS’ most recent CAHPS announcements:

URGENT: CAHPS Hospice Survey Vendor Authorization Form Due 

The deadline for hospices to complete and submit the CAHPS Hospice Survey Vendor Authorization Form is May 1, 2015. Hospices must authorize an approved CAHPS Hospice Survey vendor to submit data on their behalf for the 2015 administration of the CAHPS Hospice Survey. Please click on Technical Specifications to access the CAHPS Hospice Survey Vendor Authorization Form.

CAHPS Hospice Survey Fact Sheet 

The CAHPS Hospice Survey Fact Sheet located on the CAHPS Home Page contains an overview of the CAHPS Hospice Survey program, information regarding the CAHPS Hospice Survey measures and information for survey vendor participation. 

Click here for additional information on the CAHPS Hospice Survey

Click here to read more from NAHC.

Monday Morning Recap

The HMS Healthcare Management Solutions Monday Morning Recap reviews some of the top stories and healthcare highlights you may have missed last week.