iQIES
Now in iQIES: Preview Reports & Star Rating for April 2022 Refresh

For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) measure scores are based on the standard number of quarters. The April 2022 refresh will add new OASIS-based measures for public reporting in alignment with the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014: Percent of Residents Experiencing One or More Falls […]
Read MoreCMS Updated Quality Reporting in the Open Door Forum

The Centers for Medicare & Medicaid Services (CMS) provided some important quality updates in the Tuesday, December 14 Home Health, Hospice, and DME (Durable Medicare Equipment) Open Door Forum (ODF). What follows is a detailed summary of those updates from a NAHC staffer who monitored the call. HOSPICE QUALITY REPORTING PROGRAM UPDATES CMS reminded hospices […]
Read MoreCMS Updated Quality Reporting in the Open Door Forum

The Centers for Medicare & Medicaid Services (CMS) provided some important quality updates in the Tuesday, December 14 Home Health, Hospice, and DME (Durable Medicare Equipment) Open Door Forum (ODF). What follows is a detailed summary of those updates from a NAHC staffer who monitored the call. HOME HEALTH QUALITY REPORTING PROGRAM UPDATES The reconsideration […]
Read MoreQuality Reporting Programs, Payment Update Rules Covered by CMS Open Door Forum

The Centers for Medicare & Medicaid Services (CMS) held a Home Health, Hospice, & DME Open Door Forum on August 26, 2021. A summary of the contents for home health and hospice is below. We begin with hospice. HOSPICE CMS shared some of the FY2022 Hospice Payment Policy final rule provisions. A detailed summary […]
Read MoreCMS Updated Provider Demographic Data Process

The Centers for Medicare & Medicaid Services (CMS) will be transitioning to a new data source for a provider’s demographic data for hospice and home health agencies as well as other Post-Acute Care (PAC) provider types (Skilled Nursing Facilities / Nursing Facilities (SNF/NFs), Inpatient Rehabilitation Facilities (IRFs), and Long-Term Care Hospitals (LTCHs)). While not specified […]
Read MoreHome Health & Hospice Providers: Quality Reporting Resumption and Letters of Noncompliance

NAHC Report wants to remind both hospice and home health providers that quality data reporting resumed July 1, 2020. For three calendar quarters – October 1, 2019 through June 30, 2020 – the Centers for Medicare & Medicaid Services (CMS) provided an exception for hospice and home health providers from submitting quality data due to […]
Read MoreALERT: Quality Reporting Resumes July 1, 2020

Both hospice and home health providers will resume quality data reporting July 1, 2020. For three calendar quarters – October 1, 2019 through June 30, 2020 – the Centers for Medicare & Medicaid Services (CMS) provided an exception for hospice and home health providers from submitting quality data due to the current Public Health Emergency […]
Read MoreJuly 2020 Refresh of Home Health Compare Will Not Occur

Effective January 1, 2020, the Centers for Medicare & Medicaid Services (CMS) is processing all Home Health OASIS submissions and all reporting requirements through iQIES. Due to unforeseen circumstances, CMS has determined that there will not be a refresh for the Compare site in July 2020. Thus, CMS will not release the Home Health Provider […]
Read MoreUpdate on Required Patient Assessment Information for Home Health Claims

A new Medicare Learning Networks article, posted on March 10, reminds home health agency providers (HHAs) what steps need to be taken to ensure claims match the corresponding OASIS assessment, so the claims may be processed and paid. At the beginning of 2020, home health agencies were experiencing issues with the iQIES (Internet Quality Improvement […]
Read MoreCMS Issues iQIES Log to Assist Providers

The Centers for Medicare & Medicaid Services has released an Internet Quality Improvement and Evaluation System (iQIES) issues log to assist providers and other stakeholders in knowing what processing issues exist and the status of resolution. CMS agreed to develop the log at the request of stakeholders when providers began experiencing multiple problems with OASIS submission […]
Read MoreOpen Door Forum Summary: Updates on iQIES Transition Update and Home Health & Hospice

The Centers for Medicare & Medicaid Services (CMS) held a Home Health, Hospice, & DME Open Door Forum (ODF) on January 8, 2020. A summary is provided below, beginning with home health and followed by hospice. HOME HEALTH iQIES Transition CMS indicated in the ODF that it is aware of several issues with the iQIES […]
Read MoreAvoid Payment Delays, Register for iQIES Now!

Why register in the upgraded internet Quality Improvement and Evaluation System (iQIES) by December 23? Claims that cannot be matched to assessments will be returned to you, preventing Medicare payment. ( See NAHC Report https://report.nahc.org/action-needed-register-for-an-iqies-account/ ; https://report.nahc.org/reminder-time-is-running-out-to-access-iqies/ ) Beginning January 1, 2020, you must use iQIES to submit patient assessments and view associated reports. You […]
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