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Ever want to learn about gap billing between Hospice transfers...well now is your chance
Ever want to learn about gap billing between Hospice transfers...well now is your chance
Learn about system edits and Medicare Claims Processing Manual revisions
There can’t be a gap in the number of billing days between the transferring and receiving hospices
The “from date” for the receiving hospice must be the same as the “through date” for the transferring hospice
If the patient is transferring from outside the service area and the transferring hospice can’t arrange care until the patient reaches the receiving hospice, the transferring hospice may discharge the patient
We'll reject the hospice transfer if it doesn’t occur immediately, based on the same “from” and “through” dates
Getting Started with Hospice CASPER Quality Measure Reports
Getting Started with Hospice CASPER Quality Measure Reports
There are two CASPER Quality Measures confidential provider reports:
Hospice-Level Quality Measure Report and Hospice Patient Stay-Level Quality Measure Report.
These two reports fall under the class of CASPER reports known as “QM reports.” CASPER QM reports are on-demand and are intended to provide hospice providers with feedback on their quality measure scores, helping them to improve the quality of care delivered.
Agenda:
Hospice Quality Reporting Program (HQRP)
HIS Manual V3.00 Highlights
The Future Vision of the HQRP
Resources
The HIS is a standardized set of items intended to capture patient-level data on each hospice patient admission. Quality measures based on the HIS items are described in the HQRP Quality Measures (QM) User’s Manual.
In the spotlight...
In the spotlight...
On July 29, 2021, CMS issued an FY 2022 final rule that updates Medicare hospice payment, wage index, quality reporting programs, and policies.
As of January 1, 2021, participating Medicare Advantage Organizations can include the Medicare hospice benefit in their Part A benefits package.
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