4/7l2OL4 What is Hospice lnformation Set Reporting
) Hospice Quality Reporting Program is
mandated by the 2010 Affordable Care Act
> Currently a "pay-for-reporting" system, not a
"pay-for-performance" system
> Performance level is not a factor in
determining reimbursement ) HIS is a snapshot in time. lt does not reflect the Pt's status throughout their hospice admission.
Objectives
> Explain the Hospice lnformation Set (HlS) > Explain the regulatory authority and
requirements for HIS reporting
> Describe the HIS quality reporting measures > ldentify where to capture HIS data in the
Patient record
> Develop processes to extract HIS data and
record in the HIS report
HIS 2014 Data Submission
> 2014 HIS submission begins July I , 2014
> Two HIS reports for each patient: admission
report and discharge report
r HIS data collection training sessions were
held on February 4 & 5, and are available on
CMS website (see Resources at end of
s lides)
> HIS technical training (with additional
instruction) begins in May 2014
> Data collection and report for CY 2014
effects reimbursement for FY 2016
Hospice lnformation Set
> Previous HQR Structural Measure and NQF
0209 have been eliminated
> 20'14 will begin collection of new data > Need a new account for HIS; HQR account is
no longer operational
> Data will be used in determining future
reimbursement models
Hospice Quality Reporting : Preparing for
HIS
Diane M. Datz, RN, MA HealthCare ConsultLink
888-258-l 894
Penalty for Non-Report
> All Medicare hospice providers with active
CNN number (provider number) must report
> Hospices awaiting certification will.be
expected to have HIS processes in place at the time of their initial survey for deemed
statu s
> 2% reduction in market basket for FY 2016
if non-report
> Must submit both reports (admit and