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Hospice News Digest 06-11-2018

Posted June 11, 2018

News

  1. Hospice Provider Preview Reports Now Available. Review Your Data by June 30
  2. NHPCO’s Monthly Hospice Action Network Update
  3. Hospice Workaround For Transfers in a Benefit Period
  4. Listen to NHPCO’s new Podcast: Legal and Regulatory Issues in Community-Based Palliative Care
  5. New Medicare Card: MBI Look-up Tool Available through your MAC
  6. Settlement Conference Facilitation Call: New Audio Recording and Transcript

Events

  1. 2018 Virtual Conference July 18-19 Registration
  2. Prepare For Summer, Says ASPR TRACIE
  3. View/Listen to Recent NHPCO Chat Recordings
  4. Register for CGS Educational Webinars for Home Health and Hospice Providers
  5. Support Hospice During Virtual Hill Week
  6. ABN Interactive Tutorial Educational Tool

Interest Stories and Other Items

  1. The Latest from Terri Daniel
  2. Education Helps Nurses Hold End of Life Talks with Cancer Patients
  3. Home Health and Hospice Both Grew in 2017
  4. Medicare Patients on Hemodialysis Face Poor Hospice Access
  5. 2017 Hospice and Home Health Medicare Utilization Trends
  6. View the full CMS MLN Connects from 6-07-2018
  7. View the full NHPCO NewsBriefs from 6-07-2018

 

News

  1. Hospice Provider Preview Reports Now Available

Via CMS Open Door Forum: “Hospice provider preview reports and Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey ® provider preview reports have been updated and are now available. These two separate reports are available in your Certification and Survey Provider Enhanced Reports (CASPER) non-validation reports folder. Hospice providers are encouraged to review their Hospice Item Set (HIS) quality measure results from Quarter 4- 2016 to Quarter 3-2017 and their facility-level CAHPS® survey results from Quarter 4, 2015 to Quarter 3, 2017.

Providers have 30-days to review their HIS and CAHPS® results (June 1, 2018 through June 30, 2018).

Should a provider believe the denominator or other HIS quality metric to be inaccurate or if there are errors within the results from the CAHPS® Survey data, a provider may request CMS review. Providers must adhere to the process outlined on the Public Reporting: HIS Preview Reports and Requests for CMS Review of HIS Data webpage and the Public Reporting: CAHPS® Preview Reports and Requests for CMS Review of CAHPS® Data webpage.

For more information on how to access these reports, view the HIS Preview Report Access Instructions and the Hospice CAHPS® Provider Preview Reports Access Instructions.”

 

Hospice CAHPS, Preview Reports and Other Updates Posted

Via NAHC Report: “Case-Mix Adjustment Methods for CAHPS Hospice Survey Measures Document PostedUpdates to the Case-Mix Adjustment (CMA) Methods document which describes refinements to the CMA model, updated coefficients and means from Quarter 3 2017 for CAHPS Hospice Survey has been posted on the Scoring and Analysis page. To view or download these documents, please click HERE or go to the Scoring and Analysis page.

CAHPS Hospice Survey Response RateThe CAHPS Hospice Survey response rate for the upcoming public reporting period fourth quarter of 2015 through the third quarter of 2017 (10/1/2015 through 9/30/2017) is 33%, which is the same as the response rate for the current public reporting period, third quarter of 2015 through the second quarter of 2017 (7/1/2015 through 6/30/2017).” Download the full article here. 

 

Hospice Provider Preview Reports: Review Your Data by June 30

Via CMS MLN Connects 6-07-2018: “Two reports are available in your Certification and Survey Provider Enhanced Reports (CASPER) folder: Hospice provider preview report and Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey provider preview report. Review your Hospice Item Set (HIS) quality measure results from the fourth quarter of 2016 to the third quarter of 2017 and your facility-level CAHPS survey results from the fourth quarter of 2015 to the third quarter of 2017 by June 30.

If you believe that the denominator or other HIS quality metric is inaccurate or if there are errors in the results from the CAHPS survey data, request CMS review:

Access Instructions:

 

  1. NHPCO’s Monthly Hospice Action Network Update

Click here to read NHPCO’s Monthly Hospice Action Network update… It contains information on Virtual Hill Week, #MyHospice, HAN’s New Opioid Toolkit, and more.

 

  1. Hospice Workaround For Transfers in a Benefit Period

Via CGS on 6-5-2018: “Previously, Medicare issued the Medicare Learning Network (MLN) Matters® article, SE17014.  This article provided a workaround instructing hospices to report the benefit period start date as the admission date on your claim in the case of transfers. This was necessary to ensure the days provided by another hospice were counted when determining the correct Service Intensity Add-on (SIA) payment.

Please note that Change Request (CR)10180 will implement changes to correctly identify prior days in transfer situations; therefore, hospices no longer need to use this workaround as of July 2, 2018, the implementation date of CR10180. The corresponding MLN article, MM10180 is available at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNmattersArticles/downloads/mm10180.pdf. Be sure your billing staffs are aware of this update.”

 

  1. Listen to NHPCO’s new Podcast: Legal and Regulatory Issues in Community-Based Palliative Care

Via NHPCO: “The federal COPs make it very clear what is required for hospice compliance. Are there regulations that reflect community-based palliative care delivery that providers need to be aware of? Jean Acevedo talks with Lori Bishop about the regulatory landscape of community-based palliative care and what providers need to know.” Listen to it here.

  1. New Medicare Card: MBI Look-up Tool Available through your MAC

Via CMS MLN Connects 6-07-2018: “All Medicare Administrative Contractor (MAC) secure portal Medicare Beneficiary Identifier (MBI) look-up tools are ready for use. If you don’t already have access, sign up for your MAC’s portal to use the tool.

Submit four data elements about your patient through the tool, and we will return the MBI if we have already mailed the new Medicare card. Medicare is mailing new cards in phases by geographic location. For more information about the MBI, read the MLN Matters® Special Edition Article.”

  1. Settlement Conference Facilitation Call: New Audio Recording and Transcript

Via CMS MLN Connects 6-07-2018: “An audio recording and transcript are available for the May 22 call on the Settlement Conference Facilitation (SCF) Expansion. Learn about the newly expanded SCF Initiative, which appeals are eligible, and the process.”

 

Events

  1. 2018 Virtual Conference July 18-19 Registration

The NHPCO 2018 Virtual Conference is already one of the best ways to bring high-quality education to your staff. Early bird rates ended Friday, July 8th, but you can still register for the standard rate through July 15th. Prices go up more after that. Save money and register now. Conference information here and register as individual or as a group here.

  1. Prepare For Summer, Says ASPR TRACIE

You are encouraged, as you finalize preparations for the hazards that accompany the warmer summer weather that is upon us, to check out the Natural Disasters Topic Collection and Select Hurricane-Related Resources pages.

Also, The National Healthcare Coalition’s 2018 Call for Abstracts is open. To learn more about submissions and the conference, click here.

Finally, the Association of Healthcare Emergency Preparedness Professionals (AHEPP) will host their annual conference in November. To preview sessions or register, click here.

  1. View/Listen to Recent NHPCO Chat Recordings

Community Relations & Outreach for Bereavement Programs
June 6 Bereavement Professional chat recording – View/Listen on MyNHPCO.

Bringing Our Best Self
June 7 Spiritual Caregiver chat recording – View/Listen on MyNHPCO.

Check out the full chat schedule on MyNHPCO.  

  1. Register for CGS Educational Webinars for Home Health and Hospice Providers

Via CGS 6-5-18: “Join us for the following educational events for home health and hospice providers.  For complete details, refer to the CGS Home Health and Hospice Calendar of Events Web page.

June 7, 2018
12:00 – 1:00 p.m. Central Time

June 20, 2018
1:00 – 2:00 p.m. Central Time

June 25, 2018
12:00 – 1:30 p.m. Central Time

June 26, 2018
12:00 – 1:00 p.m. Central Time

June 28, 2018

11:00 a.m. – 12:30 p.m. Central Time”

  1. Support Hospice during Virtual Hill Week

During Virtual Hill Week, we will be asking Members of Congress via phone calls and emails to cosponsor the Rural Access to Hospice Actand using letters to the editor to spread awareness of hospice access issues in the wider community.

 

So register today for our training webinar on Friday June 15 at 12:00pm MDT, and mark your calendars to participate in Virtual Hill Week from Monday June 18 through Friday June 22.

 

Via NHPCO’s NewsBriefs: “Get involved in the legislative process and advocate for hospice and palliative care. It can be easy to advocate from home, you don’t have to come to Washington, DC. Mark your calendar to join NHPCO & HAN for Virtual Hill Week, June 18 – 22. Anyone can participate in Virtual Hill Week, and gathering friends, family, and coworkers to join you is encouraged. To ensure that everyone feels prepared for Virtual Hill Week, NHPCO is hosting one more training webinar on Friday, June 15 from 2:00 – 3:00 p.m. Register for the Webinar today. Email us at info@nhpcohan.org with any questions.”

  1. ABN Interactive Tutorial Educational Tool

Via NHPCO’s NewsBriefs: “ The Advance Beneficiary Notice of non-coverage Interactive Tutorial Educational Tool is available online from CMS.” Find it here.

 

Interest Stories and Other Items

 

  1. The Latest from Terri Daniel

Read more from Terri Daniel in the June 2018 Issue of The Afterlife Advocate. Click here for more.

  1. Education Helps Nurses Hold End of Life Talks with Cancer Patients

Via NAHC Report: “Education about how to hold end of life discussions with advanced cancer patients may help those patients make more informed decisions about their own health care, according to a new study presented at the 2018 Oncology Nursing Society (ONS) Annual Congress.

While the evidence indicates patients who are well-informed about their health prognosis make better decisions, it turns out about half of all patients analyzed in the study not hold an end of life discussion with their provider until within one month of death, in part because providers are concerned that such discussions will cause feelings of hopelessness in the patient.” Download the full article here.

  1. Home Health and Hospice Both Grew in 2017

Via NAHC Report: “Both home health and hospice grew in 2017, but the hospice market saw the bigger jump, expanding 6.5 percent in admissions over 2016, according to the annual year-end data from Excel Health.

The data shows the number of Medicare beneficiaries rose 2.2 percent to almost 58 million at the end of 2017. The report indicates that number will grow to 92.6 million Medicare beneficiaries over the next three decades.” Download the full article here. 

  1. Medicare Patients on Hemodialysis Face Poor Hospice Access

The Carolinas Center points readers to this University of Washington study: “Study of nearly 640,000 patients in last year of life reveals four distinct trajectories of care, but hospice constraints affected all.” Read the full article here.

  1. 2017 Hospice and Home Health Medicare Utilization Trends

The Carolinas Center points readers to Amy Baxter’s article in Home Health Care News 6-04-2018: “From 2016 to 2017, the home health and hospice markets both experienced growth, with millions of more Medicare beneficiaries utilizing these services, according to year-end data from Excel Health.” Read the full article here.

  1. View the full CMS MLN Connects from 6-07-2018 here.

  2. View the full NHPCO NewsBriefs from 6-07-2018 here.