Hospice Utilization & Payment Public Use File

By Katie Wehri / Posted on: June 13, 2018 5 minutes to read

CMS is proposing to add Hospice Utilization and Payment Public Use File (Hospice PUF) data to Hospice Compare. The PUF data is derived primarily from hospice claims and the most current PUF data is from FY2015. The data would be in a segregated section of Compare as it contains information about hospice payments and utilization not quality measures.


Pre-Claim Review Demonstration Coming Back?

By Melinda Gaboury / Posted on: June 7, 2018 4 minutes to read

CMS released a Comment Request, via the Federal Register, regarding Pre-Claim Review Demonstration being set to return on or after October 2018 in Illinois, Ohio, North Carolina, Florida, and Texas. The revised demonstration would last five years and Illinois will kick off the demonstration again and will be followed by Ohio and North Carolina and later Texas and Florida.


OASIS D – What is on the Horizon?

By Melinda Gaboury / Posted on: May 15, 2018 8 minutes to read

OASIS D data set has been released as proposed and will be in the form of a final rule soon. There has not yet been a release of actual guidance in completing new items added to the OASIS D data set, but the items being removed and added has been proposed. We are providing information about the items removed and the new items added to the OASIS data set for 01/01/2019 implementation.


Hospice FY2019 Proposed Rule – Payment and Quality Reporting Program

By Katie Wehri / Posted on: May 4, 2018 13–15 minutes to read

The FY 2019 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements proposed rule was recently made available. Of concern is the fact that CMS found 66% of hospice cost reports would have been rejected had certain edits been in place. Check back soon for future blog articles containing more detailed information about the quality reporting program updates and comments in the proposed rule.