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Home Health, Hospice & Durable Medical Equipment Open Door Forum

Overview:

The Home Health, Hospice & Durable Medical Equipment Open Door Forum (ODF) addresses the concerns of three unique health care areas within the Medicare & Medicaid programs. Issues related to Home Health PPS, the newly proposed competitive bidding for DME and the Medicare Hospice benefit are all topics the forum has covered. Many of the issues covered bridge concerns within all three settings and the combination of the topics under one Forum has been useful to many participants. We continue to hold Special ODFs when individual policy issues require special attention. Timely announcements and clarifications regarding important rulemaking, agency program initiatives and other related areas are also included in the forums.

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** Updated: April 17, 2015 - Special Open Door Forum (ODF): Home Health Electronic Clinical Template and Home Health Paper Clinical Template, Tuesday, April 28, 2015 from 1:30-2:30pm Eastern Time. The purpose of this SODF, in fiscal year 2014, the Comprehensive Error Rate Testing (CERT) program found that more than half (51.4 percent) of the home health claims were paid improperly. Of the 1308 CERT-reviewed claim lines in error, approximately 90 percent were found to have insufficient documentation errors. To assist physicians/practitioners in documenting patient eligibility for the Medicare home health benefit, CMS is considering the development of a voluntary electronic clinical template and a voluntary home health paper clinical template. Below is the link to our event page where the templates will be posted:
https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Medical-Review/Home_Health_Medical_Review_Update.html. Feedback and questions on the templates can be sent to: HomeHealthTemplate@cms.hhs.gov.  If you wish to participate, dial: 1-800-603-1774 & Conference ID: 78964234.  We look forward to your participation. Please see the Downloads section below for the full call announcement. Thank you for your continued interest in the CMS Open Door Forums.