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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: September 25, 2018 - Special Open Door Forum (SODF): Developing a Hospice Assessment Tool---Goals and Status Update, Wednesday, September 26, 2018, from 2:00 – 3:00pm. Eastern Time. The purpose of this SODF to allow hospices and other interested parties to ask questions on the development of the Hospice Evaluation and Assessment Reporting Tool (HEART). This SODF is the first of a series of regular SODF’s CMS plans to host on HEART. The purpose of the Hospice Evaluation and Assessment Reporting Tool (HEART) is to develop a hospice assessment 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. To date, CMS convened a Technical Expert Panel meeting in Fall 2017 and, after further analysis, CMS began pilot testing (Pilot A) an early version of the HEART. The SODF will provide a status update and welcomes your questions. Here is the link to our event page that has the slides:  https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/HEART.html. You can learn about the Hospice Evaluation and Assessment Reporting Tool (HEART) by going to: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/HEART.html. Feedback and questions on the HEART can be sent to: CMS HEART@cms.hhs.gov. If you wish to participate, dial: 1-800 837-1935 & Conference ID: 4659087. 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.

**Updated, June 22, 2018 - Special Open Door Forum (SODF): Templates and Clinical Data Elements (CDEs) for Vitamin and Metabolic Assays, Tuesday, June 26, 2018 from 2:00-3:00pm Eastern Time. To allow physicians, providers, clinical laboratories, professional associations, and/or all other interested parties to provide feedback on the templates and CDEs drafted for Vitamin and Metabolic Assays that are posted on the CMS.gov website. The printable clinical templates and suggested CDEs listed below, which describe the data elements that CMS believes would be useful in supporting the documentation requirements for coverage of Vitamin and Metabolic Assays, are as follows: 1. Order, and 2. Progress Note. The Clinical 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.html. Providers, clinical laboratories, 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 patients’ ordered laboratory services. Providers and laboratories 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. 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: 1-080-837-1935 & Conference ID: 8085986. 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.

**Updated, June 8, 2018 - Special Open Door Forum (SODF): Templates and Clinical Data Elements (CDEs) for Therapeutic Shoes for Persons with Diabetes, Tuesday, June 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 the templates and CDEs for Therapeutic Shoes for Persons with Diabetes that are posted on the CMS.gov website. The printable clinical templates and suggested CDEs listed below describe the data elements that CMS believes would be useful in supporting the documentation requirements for coverage of Therapeutic Shoes for Persons with Diabetes as follows: 1. Order, 2. Progress Note, and 3. Statement of Certifying Physician. The Clinical Templates and CDEs are available on the CMS.gov website which can be accessed through the link below: https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/Electronic-Clinical-Templates/DMEPOS-Templates/DMEPOS-Templates.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 patients’ services and/or DMEPOS. 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. Feedback and questions on our drafts can be sent to: clinicaltemplates@cms.hhs.gov. If you wish to participate, dial: 1-080-837-1935 & Conference ID: 7489855. 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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