Posted Sunday, July 18, 2021
The Centers for Medicare & Medicaid Services (CMS) has recently completed its review of hospice provider compliance with the Hospice Quality Reporting Program (HQRP) requirements. Hospices that were determined to be out of compliance with the requirements for calendar year (CY) 2020 can find the non-compliance notifications in their CASPER folders in QIES.
Hospices that receive a letter of non-compliance will have a 2 percent reduction in their fiscal year (FY) 2022 annual payment update (APU). In addition to the CMS notification, the hospice’s Medicare Administrative Contractor (MAC) will also send notification.
If a hospice receiving such notifications believes CMS’ calculation of non-compliance is in error, the hospice may request a reconsideration. It must do so no later than 11:59 PM on August 13, 2021. The request must be submitted via email
Due to the COVID-19 Public Health Emergency (PHE), CMS did not use any data submitted by providers during Q1 and Q2 2020 as these quarters were exempted from the HQRP requirements.
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