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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: 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 - Special Open Door Forum (SODF), New Proposed Rule Advances Interoperability & Patient Access to Health Data 2:00 – 3:00pm. Eastern Time. 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.

**Updated: February 20, 2019 - Special Open Door Forum (SODF): Medicare Documentation Requirement Lookup Service, Thursday, February 28, 2019, from 2:00 – 3:00pm. Eastern Time. The purpose of this SODF 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. CMS is collaborating with ongoing industry efforts to streamline workflow access to coverage requirements, starting with developing a prototype Medicare FFS Documentation Requirement Lookup Service and is participating in two workgroups to promote development of standards that will support the Lookup Service. One workgroup is a private sector initiative hosted by Health Level Seven (HL7), the Da Vinci project. The second workgroup is The Office of the National Coordinator for Health Information Technology (ONC) Payer + Provider (P2) Fast Healthcare Interoperability Resource (FHIR) Taskforce. By working with HL7, ONC, other payers, providers, and EHR vendors, CMS is helping define the requirements and architect the standards-based solutions. In parallel, CMS is preparing to support pilots testing the information exchanges for Medicare FFS programs and possibly coordinate pilots with volunteer participants to verify and test the new FHIR based solutions. 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: 8278138. 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 February 11, 2019- The proposed agenda for the next Home Health, Hospice & DME Open Door Forum scheduled for Wednesday, February 13, 2019 from 2pm-3pmET is as follows: Announcements & Updates- Billing Instructions for the HH Patient-Driven Groupings Model – Change Request 11081; Hospice QRP Updates- Links: HQRP website (https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/index.html), Hospice Compare (https://www.medicare.gov/hospiceCompare/), Help Desks Related to HQRP (HospiceQualityQuestions@cms.hhs.gov), QIES Help Desk: Help@qtso.com or 1 (877) 201-4721, CAHPS® Hospice Survey Help Desk: HospiceCAHPSSurvey@hcqis.org or (844) 472-4621, APU/Reconsiderations Help Desk: HospiceQRPReconsiderations@cms.hhs.gov; Hospice CAHPS announcements: For technical assistance, contact the CAHPS Hospice Survey Project Team: hospicecahpssurvey@HCQIS.org or 1-844-472-4621, Implementation issues: hospicesurvey@cms.hhs.gov; Updates and Announcements from the Home Health Quality Reporting Program: Reporting Updates- Home Health Compare Updates (January 2019) https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/Spotlight-and-Announcements.html , Quality of Patient Care Star Ratings Update (April 2019), Guidance Update- Updated OASIS-D Guidance Manual Eerata https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/HHQIOASISUserManual.html; Training Update- https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/Home-Health-Quality-Reporting-Training.html; HHCAHPS Survey Updates- HHCAHPS website: https://homehealthcahps.org, HHCAHPS information and assistance: HHCAHPS@rti.org, CMS contacts for HHCAHPS: homehealthcahps@cms.hhs.gov. If you wish to participate, dial 1-800-837-1935. Conference ID: 5585018. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.

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