NPHI Calls for Revision to Proposed Hospice Special Focus Program

Posted Wednesday, September 20, 2023

CMS should clarify timeframes associated with a proposed informal dispute resolution process for hospice providers and retool aspects of the agency’s forthcoming Special Focus Program, according to an industry group representing nonprofits.

The National Partnership for Hospice and Healthcare Innovation (NPHI) has issued public comments on CMS’ proposed home health rule for 2024. The proposal included some hospice-related provisions, including a 36-month change of ownership rule and the implementation of a Special Focus Program (SFP), among others.

“NPHI supports the proposed process to allow a hospice with a Condition-Level Survey finding to resolve disputes related to the findings informally and allow for continued participation in the Medicare program. This will save time and financial resources for all parties involved as noted by CMS,” the organization indicated in a letter to CMS. “However, NPHI requests that there be a defined timeframe implemented for CMS, the Survey Agency (SA), or the Accrediting Organization (AO) to review the IDR and render a decision. CMS states.”

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