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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 January 11, 2019 - The proposed agenda for the next Home Health, Hospice & DME/Quality Open Door Forum is scheduled for Wednesday, January 16, 2019 at 2:00pm is as follows: Announcements & Updates; Home Health Patient-Driven Groupings Model (PDGM) MLN Call Announcement: Here is the link to register: https://blh.ier.intercall.com/details/0f559f0d0f904221b76dd6dd49c14855; Review Choice Demonstration for Home Health Services: https://go.cms.gov/homehealthRCD; Hospice CAHPS Announcements; For technical assistance, contact the CAHPS Hospice Survey Project Team: hospicecahpssurvey@HCQIS.org or 1-844-472-4621; To communicate with CMS staff about implementation issues: hospicesurvey@cms.hhs.gov; HHCAHPS Annual Training: HHCAHPS website: https://homehealthcahps.org; HHCAHPS information and assistance: HHCAHPS@rti.org; Change Request 11049 - Ensuring Only the Active Billing Hospice Can Submit a Revocation; Updates and Announcements from the Home Health Quality Reporting Program; Guidance Updates: January 2019 Quarterly OASIS Q&A are now posted on the CMS QTSO webpage at https://qtso.cms.gov/providers/home-health-agency-hha-providers/reference-manuals: GG Self-Care and Mobility Activity Decision Tree can be found on the Oasis User Manuals webpage at: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/HHQIOASISUserManual.html; Technical Update; Updated technical home health measure specifications and tables- You can find them in the Downloads section of the quality measures page at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/Home-Health-Quality-Measures.html; Reporting Update; Training Update. If you wish to participate, dial 1-800-837-1935. Conference ID: 9749859. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.

**Updated: December 13, 2018 - Special Open Door Forum (SODF): Changes to Level II Healthcare Common Procedure Coding System (HCPCS) Coding and Application Submission Procedures for 2019, Tuesday, December 18, 2018, from 1:30 – 2:30pm. Eastern Time. The purpose of this SODF to announce changes to CMS’ Level II HCPCS Coding Procedures and HCPCS Code Application Procedures effective in the 2019-2020 HCPCS coding cycle, and to allow all stakeholders of these processes, and other interested parties, to ask questions regarding our process changes, as detailed on CMS’ HCPCS web site at http://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/index.html. CMS is interested in adopting changes to the HCPCS process that facilitate the adoption of new technologies while balancing the burden on payers and providers and considers program needs. If you wish to participate, dial: 1-800 837-1935 & Conference ID: 3073759. 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: July 24, 2018 - Special Open Door Forum (SODF): Non-Emergency Ambulance Transportation (NEAT) Templates and Clinical Data Elements (CDEs), Thursday, July 26, 2018 from 2:00-3:00pm Eastern Time. This SODF will allow physicians, provider and supplier professional associations, and/or all other interested parties to provide feedback on the draft Templates and CDEs for NEAT services that are posted on the CMS.gov website. The printable clinical templates and suggested CDEs describe the data elements that CMS believes would be useful in supporting the documentation requirements for coverage of scheduled and repetitive NEAT services, as follows: 1. Order / Physician Certification Statement (PCS) 2. Progress Note 3. Prior Authorization (PA) Request. The NEAT Templates and CDEs will be available on the CMS.gov website just prior to the SODF, and can be accessed through the link below: https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/Electronic-Clinical-Templates/Other-Benefit-Templates/Other-Templates-Non-Emergency-Ambulance-Transportation.html. Providers and IT vendors can choose whether or not to use the printable clinical templates and/or the suggested CDEs. The suggested CDEs aren't a form, but a tool that IT vendors can integrate into electronic health record (EHR) systems to create prompts to assist providers with their medical record documentation for Medicare purposes. The templates and CDEs are intended to be a helpful guide, but every section may not apply to all types of patients’ services. Providers can choose the information or CDEs that do apply. Once completed by the physician or other practitioner, the resulting documentation would become part of the medical record. To better assist providers in medical record documentation, for Medicare Fee for Service purposes, CMS has developed lists of clinical elements within a printable clinical template. This development will allow EHR vendors to create prompts to assist the practitioner when documenting. These Templates and CDEs for NEAT services are some of the many on the list of topics posted on our website. Feedback and questions on our drafts can be sent to: clinicaltemplates@cms.hhs.gov. We look forward to your participation. If you wish to participate, dial: 1-(888)-989-4575 & Conference ID: 3068545. Please see the Downloads section below for the full call announcement. We look forward to your participation. Thank you for your continued interest in the CMS Open Door Forums.

**Additional Updated: July 11, 2018 - Special Open Door Forum (SODF): Templates and Clinical Data Elements (CDEs), Draft Release 2, Thursday, July 12, 2018 from 2:00-3:00pm Eastern Time. To allow physicians, provider and supplier professional associations, and/or all other interested parties to provide feedback on Draft Release 2 of the Home Health Templates and CDEs that are posted on the CMS.gov website. CMS held a SODF for Home Health Templates and CDEs on March 1, 2018. The updates reflected in Draft Release 2 are a result of the comments and recommendations that CMS received following the previous SODF. The updated printable clinical templates and suggested CDEs describe the data elements that CMS believes would be useful in supporting the documentation requirements for coverage of Home Health Services as follows: 1. Plan of Care & Certification, and 2. Face-to-Face Encounter. The updated Draft Release 2 Home Health Templates and CDEs will be available on the CMS.gov website just prior to the SODF, and can be accessed through the link below: https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/Electronic-Clinical-Templates/Other-Benefit-Templates/Other-Templates-home-health.html. Providers and IT vendors can choose whether or not to use the printable clinical templates and/or the suggested CDEs. The suggested CDEs aren't a form, but a tool that IT vendors can integrate into electronic health record (EHR) systems to create prompts to assist providers with their medical record documentation for Medicare purposes. The templates and CDEs are intended to be a helpful guide, but every section may not apply to all types of patients’ services. Providers can choose the information or CDEs that do apply. Once completed by the physician or other practitioner, the resulting documentation would become part of the medical record. To better assist providers in medical record documentation, for Medicare Fee for Service purposes, CMS has developed lists of clinical elements within a printable clinical template. This development will allow EHR vendors to create prompts to assist the practitioner when documenting. These Home Health Templates and CDEs are some of the first of many on the list of topics that CMS is currently working to address. Feedback and questions on our drafts can be sent to: clinicaltemplates@cms.hhs.gov. We look forward to your participation. If you wish to participate, dial: 1-(800)-857-1738 & Conference ID: 7785347. Please see the Downloads section below for the full call announcement. We look forward to your participation. Thank you for your continued interest in the CMS Open Door Forums.

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