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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: May 22, 2015 - Special Open Door Forum (ODF): Home Health Quality Reporting Requirements: Quality Assessments Only (QAO) Measure Review and Historical Performance Reports, Tuesday, June 2, 2015 from 1:30pm – 2:30pm Eastern Time. The purpose of this SODF is to provide home health agencies (HHAs) and other interested parties with additional information on the new “Pay-for-Reporting Performance Requirement” described in the CY2015 Home Health Final Rule (Federal Register/Vol. 79, No. 215 / Thursday, November 6, 2014, p. 66074 ff).  The first 12-month reporting period for the new Quality Assessments Only (QAO) measure begins July 1, 2015; HHA compliance will potentially affect the Annual Payment Update (APU) for CY2017. This session follows up on the information presented in the Open Door Forum on November 12, 2014, and will also include a review of the content and format of the new Quality Assessments Only (QAO) Historical Performance Reports that will be distributed to HHAs for information purposes only by the end of June.  A link to the materials for this SODF, including a slide deck, a summary of the QAO methodology, and a sample QAO Historical Performance Report, will be posted on the Home Health Quality Reporting Program web page at http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/Home-Health-Quality-Reporting-Requirements.html.  If you wish to participate, dial: 1-800-837-1935 & Conference ID: 6140706.  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.

**Updated: May 20, 2015 - Special Open Door Forum (SODF): Certificate of Medical Necessity (CMN) and Durable Medical Equipment (DME) Information Form (DIF) Elimination Discussion, Wednesday, May 27, 2015, from 3:00p.m. – 4:00p.m. Easter Time. The purpose of this SODF call is to discuss eliminating the Certificate of Medical Necessity (CMN) and Durable Medical Equipment (DME) Information (DIF) forms.  The current CMN/DIF forms can be found by going to: http://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-List.html  then type in the form number: CMN: 484 Oxygen; 846 Pneumatic Compression Devices; 847 Osteogenesis Stimulators; 848 Transcutaneous Electrical Nerve Stimulators; 849 Seat Lift Mechanisms; 854 Section C Continuation Form. DIF: 10125 Eternal Infusion Pumps; 10126 Enteral and Parenteral Nutrition. Comments on the forms can be sent to ReducingProviderBurden@cms.hhs.gov.  If you wish to participate, dial: 1-866-501-5502 & Conference ID: 45858642.  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.

** Updated: May 5, 2015 - Special Open Door Forum (ODF): Home Health Electronic Clinical Template and Home Health Paper Clinical Template, Wednesday, May 20, 2015 from 2:30-3:30pm 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.

**Updated May 5, 2015 - The proposed agenda for the next Home Health, Hospice & DME/Quality Open Door Forum is scheduled for Wednesday, May 6, 2015 at 2:00pm is as follows Announcements & Updates; Hospice Quality Reporting Program; Form for Beneficiaries Enrolled in Part D Plans; Hospice Proposed Rule; Hospice CAHPS: For information and technical assistance, contact the CAHPS Hospice Survey Project Team via email at hospicecahpssurvey@HCQIS.org or by calling toll-free at 1-844-472-4621. To communicate with CMS staff about implementation issues, please email: hospicesurvey@cms.hhs.gov. The Hospice CAHPS website is: www.hospicecahpssurvey.org; Home Health CAHP announcements; Home Health Star Ratings materials are available at: https://homehealthcahps.org; Star Ratings/HHC Updates; Open Q&A. This agenda is subject to change. If you wish to participate, dial 1-800-837-1935 Conference ID 12763924. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.