viernes, 3 de mayo de 2013

Home Health, Hospice & Durable Medical Equipment Open Door Forum - Centers for Medicare & Medicaid Services

Home Health, Hospice & Durable Medical Equipment Open Door Forum - Centers for Medicare & Medicaid Services

 Centers for Medicare & Medicaid Services

http://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/ODF_hhhdme.html

Note: Please see the announcement/agenda on the Home Health, Hospice & DME ODF webpage under Downloads which has additional weblinks to accompany the agenda items.
The next Home Health, Hospice & DME Open Door Forum is scheduled for 
Wednesday, May 8, 2013 at 2:00 PM Eastern Time (ET).
Please call at least 15 minutes prior to the forum start time.

**This Agenda is Subject to Change**

  • Opening Remarks

Chair – Randy Throndset, Division Director, Division of Home Health, Hospice and HCPCS (CM)
Moderator – Matthew Brown (OC)

  • Announcements & Updates
  1. Health Insurance Marketplace Update
  2. HHCAHPS
  3. OASIS Modules
  4. Hospice Update
  5. Hospice Cost Report Update/PRA
  6. Claims Processing Update
  7. Re-Issued G-Code Reporting CR
  •  Open Q&A

**Next ODF: Wednesday, June 26, 2013**
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Open Door Participation Instructions:
This call will be Conference Call Only.

To participate by phone:
Dial: 1-800-837-1935 & Reference Conference ID: 78867258.
Persons participating by phone do not need to RSVP. TTY Communications Relay Services are available for the Hearing Impaired.  For TTY services dial 7-1-1 or 1-800-855-2880. A Relay Communications Assistant will help.

Encore: 1-855-859-2056; Conference ID: 78867258.
Encore is an audio recording of this call that can be accessed by dialing 1-855-859-2056 and entering the Conference ID beginning 2 hours after the call has ended. The recording expires after 2 business days.

For ODF schedule updates and E-Mailing List registration, visit our website at http://www.cms.gov/OpenDoorForums/.

Thank you.

  CMS.gov Centers for Medicare & Medicaid Services

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.

The next Home Health, Hospice & Durable Medical Equipment (DME) Open Door Forum is scheduled for Wednesday, May 8, 2013 from 2:00pm – 3:00pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 78867258. Please see the Downloads section below for the full announcement including agenda. Thank you for your continued interest in the CMS Open Door Forums.

Hospice providers must enter and attest to their NQF #0209 data on the data entry website no later than 11:59pm ET on April 1, 2013 in order to comply with Payment Year 2014 NQF #0209 requirements. Providers that have not already begun entering their NQF #0209 data for the Hospice Quality Reporting Program (HQRP) Payment Year 2014 cycle should begin doing so immediately. In order to avoid a 2 percentage point reduction in Annual Payment Update (APU) for FY 2014, providers must have submitted data for both the structural measure and the NQF #0209 measure by the specified deadlines: January 31, 2013 for the structural measure and April 1, 2013 for the NQF #0209 measure. Providers that may have missed the structural measure deadline can still visit the data entry website, create an account, and enter their NQF #0209 data. The link to the data entry site, along with a Technical User Guide giving step-by-step instructions on the data entry process, can be found on the Data Submission portion of the CMS HQRP website.

The Centers for Medicare and Medicaid Services is pleased to announce the scheduled release of modifications to the Healthcare Common Procedure Coding System (HCPCS) code set. These changes have been posted to the HCPCS website at http://www.cms.gov/HCPCSReleaseCodeSets/02_HCPCS_Quarterly_Update.asp. Changes are effective on the date indicated on the update.

During the February 20, 2013 Home Health, Hospice & DME Open Door Forum, we noted the next Open Door Forum date would be April 3, 2013. This date has been changed. The April 3, 2013 Home Health, Hospice & DME ODF is cancelled. We will notify you when the new date is determined. Thank you for your continued interest in the CMS Open Door Forums.

National Provider Calls: Medicare Shared Savings Program Application Process — Registration Now Open
Tuesday, April 9; 2:30-4pm ET — Preparing to Apply
Tuesday, April 23; 1:30-3pm ET — Tips on Completing a Successful Application. See Downloads section below for full announcement.

Important Alert: Hospice providers that have not already begun entering their NQF #0209 data for the Payment Year 2014 cycle should begin doing so immediately. Providers must enter and attest to their data on the data entry website no later than 11:59pm ET on April 1, 2013 in order to comply with NQF #0209 requirements. In order to avoid a 2 percentage point reduction in Annual Payment Update (APU) for FY 2014, providers must have submitted data for both the structural measure and the NQF #0209 measure by the specified deadlines: January 31, 2013 for the structural measure and April 1, 2013 for the NQF #0209 measure.
Providers that may have missed the structural measure deadline can still visit the data entry website, create an account, and enter their NQF #0209 data. The link to the data entry site, along with a Technical User Guide giving step-by-step instructions on the data entry process, can be found on the Data Submission portion of the CMS HQRP website.
Hospice providers that anticipate needing a deactivation request for their HQRP user account should submit their account deactivation request to the Technical Help Desk via fax at 888-477-7871 or email at help@QTSO.com prior to March 25, 2013. Any deactivation requests received on or after March 25 puts a hospice organization at risk for missing the April 1 NQF #0209 deadline. Please note: all data submitted by a user who is deactivated is permanently deleted. Please see Downloads section below for more information.

On the February 20th Home Health, Hospice and DME ODF, CMS staff responded to a question regarding the Home Health Acute Care Hospitalization claims-based measure. The caller asked if the measure is risk adjusted and if not, was CMS considering risk adjustment in the future. CMS staff responded erroneously that the measure is not risk adjusted and there are no plans to risk adjust in the future. The correct response is that the Acute Care Hospitalization claims-based measure is already risk adjusted.

The next Home Health, Hospice & Durable Medical Equipment (DME) Open Door Forum is scheduled for Wednesday, February 20, 2013 from 2:00pm – 3:00pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 78869441. Please see the Downloads section below for the full announcement including agenda. Thank you for your continued interest in the CMS Open Door Forums.

The Durable Medical Equipment, Orthotics and Supplies (DMEPOS) Competitive Bidding Program will be changing how some Medicare patients get covered supplies. Be sure to give your Medicare patients the correct information. Please review (copy and paste the link into your web browser) the following link for information for people who refer Medicare beneficiaries for DMEPOS: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/DMEPOSCompetitiveBid/index.html?redirect=/DMEPOSCompetitiveBid/01_overview.asp.

Urgent Hospice Quality Reporting Registration Information has been added to the Downloads section below. Thank you.

Please see the "New Electronic Mailing List to Keep Fee-For-Service Providers Informed" announcement in the Downloads section below.

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