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Spotlight & Announcements

About this Page

The Spotlight & Announcements web page provides recent news and updates pertinent to the HQRP. On this page you will find announcements about posting of resource guides and factsheets, the availability of quarterly Q&A documents, APU updates, amongst other notifications.

 

August 03, 2015

IMPORTANT: Hospice providers should review all Final Validation reports to confirm successful submission and processing of HIS data

As part of the HIS reporting requirements, hospices must submit required HIS–Admission and HIS-Discharge records to CMS’s Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system.

After uploading HIS files to the QIES ASAP system, providers should return to the Hospice File Submission system to verify the status of the file and then proceed with locating the system-generated Hospice Final Validation report in the CASPER Reporting application to verify that all records were successfully processed without error. To demonstrate compliance with HIS reporting requirements, providers should print and retain Final Validation reports as evidence of successful submission and processing of HIS records. If 1) a Final Validation report is not received following the submission of HIS records or 2) a Final Validation report is received with fatal errors listed, the submission and processing was not successful. In these instances, the provider must correct any errors and resubmit relevant HIS records to the QIES ASAP system.

If a Final Validation report demonstrating successful submission and processing is not received, this indicates that the relevant HIS record was not received by CMS and thus the hospice may not be in compliance with HIS reporting requirements and may be subject to a 2 point reduction in their APU determination.

For more details on accessing the CASPER Reporting application and Final Validation reports, please visit the “Hospice Item Set (HIS)” portion of this webpage.

 

July 15, 2015

Hospice Reconsideration Request Deadline

CMS will continue to accept reconsideration requests for the FY 2016 reporting period through 5:00 pm EST, Friday, July 24, 2015.  All requests and supporting documentation must be received by this deadline.  Information regarding the reconsideration process can be found at http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Reconsideration-Requests.html, or click the "Reconsideration Requests" link in the Hospice Quality Reporting box in the left hand margin of this page.

Please note: Do not include Personal Health Information (PHI) or other HIPAA violations in the documentation being submitted to CMS for review.

July 13, 2015

Slides with Speaker Notes from June 17th National Provider Call Now Available for Provider Download

Slides with speaker notes from the June 17th National Provider Call is now available for provider download in the “Downloads” portion of the “Hospice Item Set (HIS)” section of this webpage. The National Provider Call was hosted to cover updates made to V1.02 of the HIS Manual; V1.02 of the HIS Manual is also available for provider download in the “Downloads” portion of the “Hospice Item Set (HIS)” section of this webpage.

June 30, 2015

FAQs from June 17th National Provider Call Now Available for Provider Download

A frequently asked questions (FAQs) document from the June 17th National Provider Call is now available for provider download in the “Downloads” portion of the “Hospice Item Set (HIS)” section of this webpage. The National Provider Call was hosted to cover updates made to V1.02 of the HIS Manual; V1.02 of the HIS Manual is also available for provider download in the “Downloads” portion of the “Hospice Item Set (HIS)” section of this webpage.

June 23, 2015

Clarification of HIS Manual and HIS data submission specification versioning: V1.02 of HIS Manual associated with V1.01.0 of HIS Data Submission Specifications, not V1.02.0

CMS recently released an updated version of the HIS Manual, V1.02. CMS would like to clarify the relationship between guidance in V1.02 of the HIS Manual and the HIS data submission specifications.

Changes to V1.02 of the HIS Manual do not correlate with changes in V1.02.0 of the data submission technical specifications. These two documents run on separate versioning schedules. Changes in V1.02 of the HIS Manual correlate with changes that were in V1.01.0 of the data submission specifications, which were effective 6/28/15 (the same effective date as V1.02 of the HIS Manual).

Updates to V1.01.0 of the data submission specifications that are included in updated guidance in the HIS Manual V1.02 include:

  • Allowing the date in J2040B to precede the date in J2030B
  • Allowing the date in F3000B to precede the admission date
  • Allowing a dash for A0245

In the future, if providers would like to “map” or “crosswalk” versions of the HIS Manual with versions of the data submission specifications, these materials should be matched based on the effective date listed on materials, not the version number(s) of the materials.

Changes outlined in V1.02.0 of the data submission specifications are not included in V1.02 of the HIS Manual. Changes outlined in V1.02.0 of the data submission specifications will be addressed by guidance released by CMS at a later date, closer to the implementation date of those specifications, which is 4/1/16.

Providers can download V1.02 of the HIS Manual from the “Hospice Item Set (HIS)” portion of the CMS HQRP website here: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Hospice-Item-Set-HIS.html.

Providers can download V1.01.0 of the HIS data submission specifications from the “HIS Technical Information” portion of the CMS HQRP website here: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/HIS-Technical-Information.html.

June 02, 2015

V1.02 of the HIS Manual now available for provider download; National Provider Call to be held 6/17 to cover updates made to the HIS Manual V1.02

Providers can download V1.02 of the HIS Manual (along with the relevant change table) on the “Hospice Item Set (HIS)” portion of this webpage.

Details about the 6/17 National Provider Call, including registration instructions, are also available on the “Hospice Item Set (HIS)” portion of this webpage. The purpose of this National Provider Call is to cover updates that were made to V1.02 of the HIS Manual.

05/22/2015

Registration for the June 17th Hospice Item Set (HIS) National Provider Call Training Now Available

Providers can now register for the HIS-focused National Provider Call training that CMS will host on June 17th, 2015. This presentation will cover updates that were made to the HIS Manual from V1.01 to V1.02. Updates to the HIS Manual, and the related National Provider Call presentation, will provide clarifications of HIS item definitions and expectations for use.

For more details on how to register for the upcoming training, visit the “Hospice Item Set (HIS)” portion of this webpage.

05/12/2015

Save the Date: Upcoming Hospice Item Set (HIS) Training

CMS will host an HIS training on June 17th, 2015. This training will cover updates that were made to the HIS Manual from V1.01 to V1.02. Updates to the HIS Manual, and the related HIS training, will provide clarifications of HIS item definitions and expectations for use.

For more details on the upcoming training, visit the “Hospice Item Set (HIS)” portion of this webpage.

04/24/2015

New Hospice Reports Available in CASPER Reporting Application

Three new reports are available to Hospice providers in the Hospice Provider Reports category in the CASPER Reporting application. 

  1. HIS Record Error Detail by Provider
    • This report displays by HIS ID the errors encountered on the Hospice Item Set (HIS) records submitted during the specified period.  HIS records that encountered no errors during processing will not display on the report.
    • This report is useful as it provides a list of all errors returned on the Hospice Final Validation report for a specified period into one report.
    • The report displays the following information:
      • Provider identification information
      • HIS ID
      • Error information including the error number, error description and type of error (Fatal or Warning)
      • HIS Item(s) associated to the error and the data submitted for the HIS item(s).
  1. HIS Record Errors by Field by Provider
    • This report summarizes by Error Number the errors encountered in submitted HIS records during the specified timeframe. 
    • This report is useful as it summarizes the number of times an error occurred during the timeframe and the percent of HIS records with the error.
    • The report can be requested to display Fatal or Warning errors, or both.
    • The report displays the following information:
      • Provider identification information
      • Message Type selected
      • Total HIS records submitted during the selected timeframe
      • Error Number and Error Description
      • HIS items associated to the error
      • Number of HIS records with the error
      • Percent of HIS records with the error
  1. HIS Records With Error Number XXXXX
    • This report lists for up to 5 specified Error Numbers the HIS records submitted with those errors during a specified timeframe.
    • This report is useful as it provides detailed information for specific errors of interest.
    • The report displays the following information:
      • Provider identification information
      • Error Number and Error Description
      • Submission Date of the HIS record
      • Patient’s Last Name and First Name
      • HIS ID
      • HIS Item(s) that encountered the error
      • Submitted Data in the HIS Item(s)

The link to access the CASPER Reporting application is available on the CMS QIES Systems for Providers Hospice Welcome page at (https://mds.qiesnet.org/hospc/home.html).

Note: The CASPER Reporting link and access to Final Validation Reports and the new Provider Reports are only active and available for registered users of the QIES ASAP system.

CASPER Reporting User’s Manual

Two sections of the CASPER Reporting User’s Manual were updated: 

  • Cover and Table of Contents – the three new reports display in the table of contents for Section 3.
  • Section 3 - Hospice Provider Reports contains detailed information about the new reports. 

The CASPER Reporting User’s Manual is available on the CMS QIES Systems for Providers Hospice Welcome page at (https://mds.qiesnet.org/hospc/home.html).  The CASPER Reporting User’s Manual is also available on the QIES Technical Support Office (QTSO) website at https://www.qtso.com/hospicetrain.html.

If you have any questions concerning this information, please contact the QTSO Help Desk at help@qtso.com or 1 (888) 477-7876.

01/14/2015

  • An updated version of the HIS data submission specifications (v1.01.0) is now available on the HIS Technical Information portion of this website. 
  • 4th Quarter Question and Answer (Q+A) Document Available: A new Q+A document is available on the “Hospice Item Set (HIS)” portion of this website. This document contains frequently asked HIS-related questions received on the HelpDesk
    October - December 2014.
  •  Hospice Annual Payment Update (APU) Quick Reference Guide is now available

    The CMS Hospice Quality Reporting Program (HQRP) help desk has created an APU Quick Reference Guide for Hospice users.  The guide is available on the “Help Desk” portion of this website.  The guide contains tips for new data-submitters, resource links including links to the quarterly Question and Answer documents, and help desk contact information with a brief description of the issues handled by each help desk.  The guide also includes information about filing a reconsideration request (used only when a facility has been determined to be non-compliant) and how to file an appeal.

10/22/2014

3rd Quarter Question and Answer (Q+A) Document Available

A new Q+A document is available on the “Hospice Item Set (HIS)” portion of this website. This document contains frequently asked HIS-related questions received on the HelpDesk
July- September 2014.

9/23/14

Attention Hospice Providers!

On June 30, 2014 CMS mailed notifications to all Hospices that were determined to be out of compliance with the CMS Hospice Quality Reporting Program requirements.    Any Hospice that received a notice of non-compliance had the opportunity to submit a request for reconsideration of the initial CMS determination of non-compliance, with respect to quality data submissions affecting the FY 2015 market basket update.  We have completed our review of all Hospice requests for reconsideration.  All notifications will be mailed by Tuesday, September 23, 2014.  If your Hospice has applied for reconsideration and is expecting to receive a letter of notification, we kindly ask that you allow at least 7 days, beginning with September 23, 2014, before submitting inquiries to our help desk regarding the status of your notification.  If your Hospice has applied for reconsideration and does not receive a letter of notification by Tuesday, September 30, 2014, you may contact our reconsiderations help desk for assistance.  Please send your inquiries to: HospiceQRPReconsiderations@cms.hhs.gov.

08/18/2014

Fiscal Year 2015 Reporting Cycle Data Analysis Available

A report summarizing the data analysis of Fiscal Year (FY) 2015 Reporting Cycle data is now available on the FY2014 and FY2015 Data Submission portion of this website.

07/31/2014

2nd Quarter Question and Answer (Q+A) Document Available

A new Q+A document is available on the “Hospice Item Set (HIS)” portion of this website. This document contains frequently asked HIS-related questions received on the HelpDesk April- June 2014.

07/16/2014

Hospice providers should not submit any HIS records for patients admitted prior to 7/1/2014 but discharged after 7/1/2014

A HIS-Admission and HIS-Discharge record are to be submitted for all patient admissions to a Medicare-certified hospice program on/after July 1, 2014.  Hospices are not required to submit any HIS records for patient admissions prior to July 1, 2014, regardless of when the patient is discharged.

If a provider attempts to submit a HIS-Discharge record for patients with an admission date prior to 7/1/2014, that record will be rejected by the QIES ASAP system

Two new fact sheets available on the “Hospice Item Set (HIS)” Portion of this website.

Providers should review both fact sheets to make sure they have the most up-to-date information on HIS reporting and FY 2016 requirements for the HQRP

06/04/2014

Important new and updated HIS-related content available for provider download

There are several new and updated HIS-related downloads and resources available for providers. Providers should review the materials listed below in preparation for HIS implementation on July 1, 2014. Available resources and materials include:

  • UPDATED Version of the HIS Manual (V1.01) and relevant Change Table available on the “Hospice Item Set (HIS)” portion of this website. Providers should review V1.01 of the HIS Manual and the relevant change table to make sure they are aware of changes made from V1.00.0 to V1.01 of the HIS Manual.
  • NEW Fact Sheet about Guidelines for HIS Completion Timing is available on the “Hospice Item Set (HIS)” portion of this website. This Fact Sheet replaces previous CMS guidance about updating the HIS and provides important new information.
  • NEW Question and Answer (Q+A) Document is available on the “Hospice Item Set (HIS)” portion of this website. This document contains frequently asked HIS-related questions received on the HelpDesk January – March 2014.
  • Registration for hospice User IDs – hospices will need 2 user IDs to submit HIS records to the QIES ASAP system. Information on where and how to register for these User IDs is available on the “HIS Technical Information” portion of this website.
  • Technical training modules covering HIS registration and submission processes including submission of files to QIES ASAP and using the HART software - Providers can find more information about these training modules on the “HIS Technical Information” portion of this website.

5/21/2014

The online registration applications for the CMSNet User ID and the QIES User ID are now available. Details about applications can be found on the HIS Technical Information portion of this website.