Hospice News Blog 8-20-2018

News

HIS Freeze Date: August 15

Recertify your FISS DDE User ID Today

Home Health & Hospice Claims Process Issues Log Updated

CMS Clarifies Medicare Secondary Payer Form Use

Hospice Compare Refresh

Alert: What to do for Patients that Did Not Receive their New Medicare Card

Elderly Support Opioid Prescription Limits, Better Counseling, and Disposal Options

CMS is Seeking Input on Advancing Interoperability and Transparency in Charges for Services

Help Wanted: Nurse Procedure Writers

MLN Connects for 8-16-2018

NHPCO NewsBriefs 8-16-2018

OIG Special Agents Sound Off on Hospice Fraud, CMS Rules

Events

Women Empowered Conference

Your Input Needed for Hospice Roundtable

Introduction to the HQRP Webinar

2018 Home Care and Hospice Conference & Expo

Interest Items

Weed at Work: How to Prepare and Protect Your Business

Walk to End Alzheimer’s (Cache Valley)

Hospice Alert 18.15

 


News

HIS Freeze Date: August 15

Via CMS: “The freeze date for the Hospice Item Set (HIS) data that will be included in quality measure calculations for the November 2018 Hospice Compare refresh is August 15, 2018. The November refresh will include HIS data from Q1 2017 to Q4 2017 (1/1/17-12/31/17). All HIS records, including modifications/corrections and inactivations need to be submitted and accepted by the Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system by 11:59:59 p.m. E.D.T. 8/15/18 to be reflected in the Hospice Provider Preview Report that will be available on September 4, 2018.” Read the rest of the CMS information here…

Recertify your FISS DDE User ID Today

Failure to recertify by September 30, 2018 will result in the termination of FISS DDE services. Please give this your immediate attention to avoid any disruption in your ability to access FISS DDE services. Read more from CGS here…

Home Health & Hospice Claims Process Issues Log Updated

Via CGS: “The J15 HH&H Claims Processing Issues Log has been updated.”

CMS Clarifies Medicare Secondary Payer Form Use

Via Theresa Forster: A NAHC member requested clarification of requirements relative to CMS’ model MSP survey. “CMS issued a new transmittal that revises manual language to help provide clarification regarding those responsibilities, and outlining circumstances under which the requirements are waived.  The new transmittal is located at:

https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2018Downloads/R123MSP.pdf

Following is an excerpt representing new manual language that may be relevant to particular cases:

If the model questionnaire is used during the admissions process, the provider will verify each data element by using the questions found in §20.2.1 to help identify other payers that may be primary to Medicare. It will comply with any instructions that follow a particular question. Note: If the provider has the ability to submit and receive a X12 270/271 transaction, the admission staff shall ask the beneficiary if any insurance information found on CWF, or the X12 271 response, has changed in lieu of asking all the MSP questions. When submitting the X12 270 transaction the provider must include the beneficiary entitlement date to be sure all MSP periods are received on the X12 271 response. If there are no changes or updates to the beneficiary’s insurance then there is no need to ask the questions. However, having access to CWF or the X12 270/271 transaction does not absolve the provider of its responsibility from asking the MSP questions as necessary. If there are changes to the insurance information, or if there is uncertainty regarding information based on conversation, then the provider must ask the MSP questions. Providers must make a notation for auditing purposes that all the questions were not asked upon admission, or during the telephone interview/screening, based on the beneficiary’s statement that their insurance information has not changed or does not require updating. The Medicare contractor shall request this notation and confirmation during its hospital review. If the provider lacks access to CWF or it does not utilize the X12 270/271 transaction the provider shall follow the procedures found under §20.2.1. This means the provider shall ask the beneficiary the necessary MSP questions to determine the correct primary payer. The providers are held liable to obtain the correct MSP information so claims are billed to the correct primary payer accordingly per the CMS regulations 42 CFR § 489.20.”

Hospice Compare Refresh

Via NAHC alerting of CMS announcement: “The August 2018 quarterly Hospice Compare refresh is now live.  This Hospice Compare update reflects Hospice Item Set (HIS) quality measure results based on data collected Q4 2016 – Q3 2017 and on Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey ® results reported Q4 2015 – Q3 2017. We invite you to visit Hospice Compare to view the data.”

Via Theresa Forster: “Hospices should also note that the preview reports for the November refresh (containing scores on the HIS Composite measure) are now available in your CASPER folders.”

Alert: What to do for Patients that Did Not Receive their New Medicare Card

Via NAHC Report: “As loyal NAHC Report readers know well by now, the Centers for Medicare & Medicaid Services (CMS) began issuing a new Medicare Card in April, with new Medicare Beneficiary Identifier (MBI) replacing the Social Security Numbers. The cards, which were mandated by the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, will be mailed out to every Medicare beneficiary in the United States through April 2019, when the process is expected to be complete.

According to CMS, some Medicare beneficiaries in states where CMS has finished mailing out new Medicare cards might not have received it. If this is true for any of your patients, Register and order (or print) new Still Waiting for Your New Card? tear-off sheets (Product #12023) and give to your Medicare patients who did not receive their cards.” Read the full article here…

Elderly Support Opioid Prescription Limits, Better Counseling, and Disposal Options

Via NAHC Report: ” A University of Michigan /AARP National Poll on Healthy Aging finds that an overwhelming majority of America’s elderly favor legal restrictions on opioid prescriptions, but many of them keep unused medication in their home and are not sufficiently educated on the risks of doing so.

Almost 75 percent of older Americans support statutory limits on how many opioid pills a doctor can prescribe at once for a patient, and even bigger majorities supported other rules to limit public exposure to dangerously addictive painkillers.

More than 100 million American adults live with daily pain, which partially explains the explosion in opioid use and abuse in recent years. Almost 30 percent of older adults say they have filled an opioid painkiller prescription within the last two years, most commonly to deal with pain from surgery, injury, arthritis, or some back malady.” Read full article here…

CMS is Seeking Input on Advancing Interoperability and Transparency in Charges for Services

Via NAHC Report: “The Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2019 proposed home health prospective payment system (HHPPS) rule on Monday, July 2, 2018. In addition to payment updates, CMS is seeking feedback on two Requests for Information (RFIs).

Request for Information on Promoting Interoperability and Electronic Healthcare Information Exchange Through Possible Revisions to the CMS Patient Health and Safety Requirements for Hospitals and Other Medicare- and Medicaid-Participating Providers and Suppliers

Currently, Medicare- and Medicaid-participating providers and suppliers are at varying stages of adoption of health information technology. While both adoption of EHRs and electronic exchange of information have grown substantially among hospitals, significant obstacles to exchanging electronic health information across the continuum of care persist. Routine electronic transfer of information post-discharge has not been achieved by providers and suppliers in many localities and regions. Much  of the reason for this disparity in EHR development is due to the fact that CMS has provided financial incentives to hospitals, critical access hospitals (CAHs), and  professionals, whereas, post acute care have been  consistently excluded form incentive initiatives to develop EHRs.” Read the full article here…

Help Wanted: Nurse Procedure Writers

Via NAHC Report: ” If you are experienced in home care and/or hospice and enjoy documenting the procedures to provide high quality nursing care, then we have a job that fits you perfectly! NAHC has entered a collaboration agreement with Wolter Kluwer, the owner of Lippincott, to provide clinical expertise developing home health nursing procedures for their product Lippincott Procedures. This collaboration will provide individuals interested and capable of writing and editing policies for their new procedure manual for home care nurses.” Read the full article here…

MLN Connects for 8-16-2018

Download and read CMS’s most recent newsletter here…

NHPCO NewsBriefs 8-16-2018

Download and read the NHPCO’s most recent newsletter here…

OIG Special Agents Sound Off on Hospice Fraud, CMS Rules

Shared via Ellen Almond’s Home Health Media Clips: “In one example of hospice fraud, a provider was caught billing for 17 days of general inpatient care for a 70-year-old Medicare beneficiary, though a caregiver had never even visited him.

In another case, an owner a hospice was found to be using recruiters to solicit and enroll beneficiaries for hospice care when they were not eligible in the first place.

These are just a few of the many instances of billing fraud happening throughout the hospice industry, collectively costing the government hundreds of millions of dollars each year, according to the U.S. Department of Health and Human Services’ Office of Inspector General (OIG). As the main federal watchdog tasked with sniffing out misconduct related to Medicare, Medicaid and dozens of other government programs, OIG highlighted the cases in a scathing report released last month.” Read the rest of Robert Holly’s Home Health Care News article here…

Events

Women Empowered Conference

Presented by University of Utah Health Plans “Join us for a half day conference with an exclusive discussion around women’s health and how University of Utah Health is changing the way you experience care.”

Your Input Needed for Hospice Roundtable

Via Visiting Nurse Associations of America: “Join the ElevatingHOME and VNAA policy team for the Hospice Roundtable on August 20 at 12:30 p.m. MST. We are seeking your participation for a critical discussion of emerging policy issues impacting hospice and palliative care providers.  Interested? Find out more here…

Introduction to the HQRP Webinar

Via CMS: “The Centers for Medicare & Medicaid Services (CMS) will be hosting an Introduction to the Hospice Quality Reporting Program (HQRP) Webinar on Thursday, August 30, 2018, from 12:00 to 1:30 p.m. MST. The purpose of this webinar will be to explain the basics of the Hospice Quality Reporting Program (HQRP). The webinar will provide an overview of the Hospice Item Set (HIS) and Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Hospice Survey. These are the two components of the Hospice Quality Reporting Program.  A primary focus of the webinar will be to help hospice providers learn what they need to do to receive their full Annual Payment Update.

Registration for these webinars is limited to 1,500 attendees per event on a first-come, first-serve basis.

Please register only if you know you will be able to attend the webinar, as space is limited. If you would like your name placed on a list to receive an email notification when the recorded version of the webinar is available, please CLICK HERE to be placed on an email notification list.

CLICK HERE to register for the Introduction for HQRP Webinar.”

2018 NAHC Home Care and Hospice Conference & Expo

When: October 7-9, 2018
Where: Gaylord Texan in Grapevine, TX
Early Bird Deadline: August 31st
Via NAHC: ” We’re excited to present you with a collection of notable speakers and esteemed faculty who will address a variety of subjects including: business development, finance, talent acquisition, continuum care, private duty, legal, and much more. They will guide you in assessing and developing your own leadership skills during the pre-conferences, keynote presentations, and over 70 educational sessions. These tools will enable you to become a more effective leader and a stronger home health advocate.”

Interest Items

Weed at Work: How to Prepare and Protect Your Business

Via Caldwell Insurance Services: “With the laws regarding the use of marijuana rapidly changing, it’s important for employers to become familiarized with their own state’s laws. As employers move through this undiscovered territory, balancing the rights of employees against the safety of the workplace can be a challenge. So, what can you do to mitigate the risk of these two potential liabilities?

Anticipating questions and preparing workplace policies addressing these concerns will keep your business on top.” Download the PDF to read more here…

Walk to End Alzheimer’s (Cache Valley)

Cache Valley Walk to End Alzheimer’s is Saturday September 22nd, 2018. The walk begins at 10:00 am at Merlin Olsen Park,  100 South 250 East, Logan.
Sunshine Terrace Foundation is co-chairing the event, we have create a fun and engaging Corporate Challenge. In an effort to create more awareness we are encourage Healthcare provider to compete each other (number of walker) . Please join us Monday August 20th , 2018  at noon for our kickoff luncheon, here at Sunshine Terrace in our Board Room.
RSVP ASAP to Amy Anderson at 435-754-0233 or Dennis Wildman at 435-716-8546

Hospice Alert 18.15

Via The Health Group: “PIP Reimbursement for Hospice” and “Watch for CAP Liability Notices.” Read these articles here…

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