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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 8, 2019 - The proposed agenda for the next Home Health, Hospice & DME/Quality Open Door Forum is scheduled for Wednesday, May 15, 2019 at 2:00pm is as follows: Announcements & Updates; FY 2020 Hospice Proposed Rule announcement; Rule: https://www.govinfo.gov/content/pkg/FR-2019-04-25/pdf/2019-08143.pdf; Hospice Detail page about the rule with wage index and provider level files: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/Hospice/Hospice-Regulations-and-Notices-Items/CMS-1714-P.html?DLPage=1&DLEntries=10&DLSort=3&DLSortDir=descending; FDMS where providers can comment on the rule: https://www.regulations.gov/docket?D=CMS-2019-0068 HQRP and Hospice Compare; HQRP webpage: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Spotlight.html; Hospice Compare: https://www.medicare.gov/hospiceCompare/; CAHPS Hospice Announcements; CAHPS Hospice; Survey website: www.hospicecahpssurvey.org; For technical assistance with 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 Survey reminders; HHCAHPS website: https://homehealthcahps.org; HHCAHPS information and assistance: HHCAHPS@rti.org CMS contacts for HHCAHPS: homehealthcahps@cms.hhs.gov; Hospice Usage of NOE via EDI eNews letter about the Hospice underpayment issue – Hold Hospice Adjustments to Avoid Underpayments https://www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Downloads/2019-04-11-eNews.pdf; CR 11272, Home Health (HH) Patient-Driven Groupings Model (PDGM) - Additional Manual Instructions update; Updates and Announcements from the Home Health Quality Reporting Program; Reporting Update; Guidance Update; OASIS Quarterly Q&A: https://qtso.cms.gov/providers/home-health-agency-hha-providers/reference-manuals; User Manual/Data Sets Update; OASIS Memorandum: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/HHQIOASISUserManual.html; Training Update APU Webinar: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/Home-Health-Quality-Reporting-Training.html Review Choice Demonstration for Home Health Service: https://go.cms.gov/homehealthRCD; DME Prior Authorization Updates; DME Webpage: https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/DMEPOS/Prior-Authorization-Process-for-Certain-Durable-Medical-Equipment-Prosthetic-Orthotics-Supplies-Items.html; Update on the Round 2021 DMEPOS Competitive Bidding Program see the: Competitive Bidding Implementation Contractor website and CMS Round 2021 Fact Sheet . If you wish to participate, dial 1-800-837-1935. Conference ID: 7073239. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.

**Updated: May 3, 2019 - Special Open Door Forum (SODF), Medicare Documentation Requirement Lookup Service, Tuesday, May 14, 2019 from 2:00 – 3:00pm Eastern Time. The purpose of this SODF is to educate the public about a new initiative underway to develop a Medicare Fee for Service (FFS) Documentation Requirement Lookup Service prototype. Also, to allow physicians, suppliers, IT and Electronic Health Record (EHR) Developers and Vendors, and/or all other interested parties to provide feedback to CMS and inform how interested parties can get involved or track the progress of this initiative. The goals of the Documentation Requirement Lookup Service prototype are to reduce provider burden, reduce improper payments and appeals, and improve "provider to payer" information exchange. The prototype will be made accessible to pilot participants and will allow providers to be able to discover the following at the time of service and within their EHR or practice management system: 1. If Medicare FFS requires prior authorization for a given item or service; and 2. Documentation requirements for Oxygen and Continuous Positive Airway Pressure (CPAP) Devices. For more information and to access the slide presentation for the SODF, please visit our website: go.cms.gov/MedicareRequirementsLookup. If you wish to participate, dial: 1-800 837-1935 & Conference ID: 4457108. 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: March 11, 2019- On Wednesday, March 13, 2019 from 2pm-3pmET, the Centers for Medicare & Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) will host a Special Open Door Forum (SODF) to allow hospices and other interested parties to ask questions on the development of a Hospice Assessment Tool. This SODF is part of a series of regular SODF’s CMS plans to host on this tool and other key topics related to the Hospice Quality Reporting Program.

The purpose of a hospice assessment tool is to develop a tool that enables CMS and hospices to understand the care needs of people through the dying process and to ensure the safety and comfort of individuals enrolled in hospice institutions nationwide. The SODF will provide a status update and welcomes your questions.

You can learn about the hospice assessment tool by going to: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/HEART.html

 Feedback and questions on the hospice assessment tool can be sent to: CMS HEART@cms.hhs.gov. If you wish to participate, dial 1-800-837-1935 Conference ID 4382306. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.

**Updated: February 22, 2019 - On Tuesday, February 26, 2019 from 2pm-3pm Eastern Time, Special Open Door Forum (SODF), New Proposed Rule Advances Interoperability & Patient Access to Health Data. The purpose of this SODF to discuss the recent press release. CMS Senior Staff will present the topic and answer your questions. More information can be found here:   https://www.cms.gov/newsroom/fact-sheets/cms-advances-interoperability-patient-access-health-data-through-new-proposals If you wish to participate, dial: 1-800 837-1935 & Conference ID: 8968707. 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.