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CMS Proposed Changes To The HHQRP

Posted on Monday, July 27, 2015 2:00 PM

In the proposed rule for calendar year (CY) 2016 Home Health Prospective Payment System Rate Update, CMS is proposing additional home health quality reporting requirements as part of the home health quality reporting program (HHQRP). The HHQRP requires that all home health agencies submit selected quality data in order to receive the full annual payment update (APU) for the payment year associated with the respective reporting year. Agencies that do not submit the quality data are subject to a 2% market basket percentage reduction in payments. The current HHQRP requires agencies to submit 70% of their Outcome and Assessment Information Set (OASIS) quality assessments, as well as quarterly Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS) data in order receive the full APU. The newly proposed rule would increase the OASIS assessment submission threshold to 80% for the reporting year that begins July 1, 2016, through June 30, 2017, for payment year 2018, and 90% for the following reporting year (payment year 2019). Additionally, CMS is proposing one new quality measure that will be required by implementation of the Improving Medicare Quality Post-Acute Care Transformation (IMPACT) Act. For CY 2016, CMS is proposing to require home health agencies to begin reporting a quality measure that addresses the domain of skin integrity and changes in skin integrity. Click here to read more.

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