CMS Hospice Public Reporting Key Dates for Providers
Centers for Medicare & Medicaid Services (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.
Hospice Quality Reporting Program (HQRP) data submission requirements were temporarily exempted in CY 2020 in response to the COVID-19 Public Health Emergency (PHE). The exempted data is still impacting what is displayed on Care Compare. To understand the impact of the COVID-19 PHE data exemption, please refer to the first edition HQRP COVID-19 Public Reporting Tip Sheet (PDF) published in September 2020 and the Second Edition HQRP COVID-19 PR Tip Sheet published in December 2021. These can also be found in the Downloads section of the HQRP Requirements and Best Practices web page.
Care Compare Refresh Schedule and Preview Periods
|
Refresh Date |
August 2022 Refresh |
November 2022 Refresh |
February 2023 Refresh |
May 2023 Refresh |
|
Quarters Included in Refresh for HIS Measures (includes patients discharged during these quarters) |
Quarter 4 2020 – Quarter 3 2021 |
Quarter 1 2021 – Quarter 4 2021 |
Quarter 2 – Quarter 4 2021; Quarter 1 2022 |
Quarter 3 – Quarter 4 2021, Quarter 1 – Quarter 2, 2022 |
|
Quarters included in Refresh for CAHPS® measure scores (includes patients who died during these quarters) |
Quarter 2 – Quarter 4 2019;
|
Quarter 3 – Quarter 4 2019; Quarter 3 2020 – Quarter 4 2021 |
Quarter 4 2019; Quarter 3 2020 – Quarter 1 2022 |
Quarter 3 2020 – Quarter 2 2022 |
|
Quarters included in Refresh for CAHPS® Star Ratings (includes patients who died during these quarters) |
Quarter 2 – Quarter 4 2019; |
Quarter 2 – Quarter 4 2019; |
Quarter 4 2019; Quarter 3 2020 – Quarter 1 2022 |
Quarter 4 2019; Quarter 3 2020 – Quarter 1 2022 |
|
Quarters included in Refresh for Claims-based Measures (includes patients with claims for care received during these quarters) |
Quarter 3 – Quarter 4 2019; Quarter 3 2020 – Quarter 4 2021 |
Quarter 3 2019 – Quarter 4 2019; Quarter 3 2020 – Quarter 4 2021 |
Quarter 3 2019 – Quarter 4 2019; Quarter 3 2020 – Quarter 4 2021 |
Quarter 3 2019 – Quarter 4 2019; Quarter 3 2020 – Quarter 4 2021 |
|
Month that Provider Preview Reports (HIS, Claims, CAHPS®) are released |
May |
August |
November |
February |
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 1, 2022 |
(01/1/22-03/31/22) |
August 15, 2022 |
|
Quarter 2, 2022 |
(04/1/22-06/30/22) |
November 15, 2022 |
|
Quarter 3, 2022 |
(07/1/22-09/30/22) |
February 15, 2023 |
|
Quarter 4, 2022 |
(10/1/22-12/31/22) |
May 16, 2023 |
CMS encourages providers to review quality measure data early and often using their Certification and Survey Provider Enhanced Reports (CASPER) Quality Measure (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 web page.
Upcoming CAHPS Hospice Survey Data Submission Deadlines
During CY 2022 and 2023 the Consumer Assessment of Healthcare Providers & Systems 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 2022 and 2023
|
Quarter |
Dates of Deaths |
Data Submission Deadline |
|
Quarter 1 2022 |
January-March 2022 |
August 10, 2022 |
|
Quarter 2 2022 |
April-June 2022 |
November 9, 2022 |
|
Quarter 3 2022 |
July-September 2022 |
February 8, 2023 |
|
Quarter 4 2022 |
October-December 2022 |
May 10, 2023 |
Updates
March 30, 2023
NEW RESOURCE AVAILABLE: HQRP CAHPS Hospice Survey – Care Compare Data Refresh Schedule
CMS has prepared a fact sheet that summarizes CAHPS data refreshes on Care Compare.
This resource is available in the Downloads section below.
If you have questions about accessing the resources or feedback regarding the trainings, please email PAC Training. HQRP content-related questions should be submitted to the Hospice Quality Help Desk. For CAHPS technical assistance contact the CAHPS Hospice Survey Project Team or call 1-844-472-4621.