Public Reporting: Key Dates for Providers

CMS Hospice Public Reporting Key Dates for Providers

CMS encourages providers to be familiar with the important dates outlined in the tables below. Providers need to submit all Hospice Item Set (HIS) modification or inactivation records prior to the 4.5 month data correction deadline for public reporting for the modifications to be reflected in the corresponding HIS Provider Preview Report and public display, located on Care Compare.

This means that providers have 4.5 months following the end of each calendar year (CY) quarter to review and correct their HIS records with target dates (which is the admission date for HIS-Admission records and discharge date for HIS-Discharge records) in that quarter for public reporting. After this 4.5 month data correction deadline has passed, HIS data from that calendar quarter will be permanently frozen for the purposes of public reporting. Updates made after the correction deadline will not appear in any subsequent Care Compare refresh. This policy is at the HIS record-level, meaning a patient’s HIS-Admission and HIS-Discharge records may have different data correction deadlines.

HQRP data submission requirements were temporarily exempted in response to the COVID-19 Public Health Emergency. Additionally, public reporting of hospices’ data was frozen after the November 2020 refresh through November 2021. Beginning with the February 2022 refresh public reporting will resume for quality measure data, including the release of Provider Preview Reports. Please reference the data collection deadlines below for more details. For additional information on COVID-19 PHE data exemption, please see the Hospice COVID-19 Public Reporting Tip Sheet in the Downloads section of the HQRP Requirements and Best Practices webpage or the Hospice FY2022 Final Rule at the CMS Hospice Center website.

 

Care Compare Refresh Schedule and Preview Periods

Refresh Date

August and November 2021 Refresh

February 2022 Refresh

May 2022 Refresh

August 2022 Refresh

Quarters Included in Refresh for HIS Measures (includes patients discharged during these quarters)

Freeze

Quarter 3 2020 – Quarter 1 2021

Quarter 3 2020 – Quarter 2 2021

Quarter 4 2020 – Quarter 3 2021

Quarters included in Refresh for CAHPS (includes patients who died during these quarters)

Freeze

Quarter 4 2018 – Quarter 4 2019,

Quarter 3 2020 – Quarter 1 2021

Quarter 1 2019-Quarter 4 2019,
Quarter 3 2020-Quarter 2 2021

Quarter 2 2019-Quarter 4 2019,
Quarter 3 2020-Quarter 3 2021

 

Quarters included in Refresh for Claims-based Measures (includes patients with claims for care received during these quarters)

N/A

N/A

Quarter 2 2019-Quarter 4 2019;

Quarter 3 2020-Quarter 3 2021

Quarter 2 2019-Quarter 4 2019;

Quarter 3 2020-Quarter 3 2021

Month that Provider Preview Reports (HIS, Claims, CAHPS) are released

Not Released

November

March

May

 

Upcoming Data Correction Deadlines for Public Reporting

Target Date of HIS Record

HIS Record Data Correction Deadline for Public Reporting (11:59:59 p.m. E.T.)

Quarter 3, 2021

(07/1/21–09/30/21)

February 15, 2022

Quarter 4, 2021

(10/1/21–12/31/21)

May 16, 2022

Quarter 1, 2022

(01/1/22-03/31/22)

August 15, 2022

Quarter 2, 2022

(04/1/22-06/30/22)

November 15, 2022

 

CMS encourages providers to review quality measure data early and often using their CASPER QM Reports and not wait until the 4.5-month data correction deadline for public reporting to submit any necessary HIS corrections. For more information on how providers can use their CASPER QM Reports to review data please see the CASPER QM Reports Fact Sheet in the Downloads section of the HQRP Requirements and Best Practices webpage.

 

CY 2021 CAHPS Hospice Survey Schedule Remains

During CY 2021 the CAHPS Hospice Survey will continue data collection as normal.  This means that deadlines for data submission to the CAHPS Hospice Survey data warehouse will occur on the second Wednesday of the month in February, May, August and November.

 

CAHPS Hospice Survey Upcoming Data Submission Deadlines in CY 2021

Quarter

Dates of Deaths

Data Submission Deadline

Q3 2021

July-September 2021

February 10, 2022

Q4 2021

October-December 2021

May 12, 2022

Q1 2022

January-March 2022

August 11, 2022

Q2 2022

April-June 2022

November 10, 2022


Hospice Quality Reporting Program Archives

Page Last Modified:
09/02/2021 06:37 AM