Important Regulatory and Compliance Updates from CMS
Monday, January 14, 2013
by: VNAA Policy Team

Section: Public Policy and Advocacy

On January 9, Centers for Medicare and Medicaid Services (CMS) held a Home Health and Hospice Open Door Forum. Below are important updates from the forum.
HHABN Proposed Change
  • CMS is currently proposing to discontinue the Home Health Advance Beneficiary Notice (HHABN), Form CMS-R-296, and replace the HHABN with a new Home Health Change of Care Notice (HHCCN), Form CMS-10280, and the existing Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131.
  • CMS is looking for public comment on the changes – these changes are not currently in effect. For more information on the proposed change and to submit comments click here.
  • January 17 is the deadline for home health agencies (HHAs) to file HHCAHPS participation exemption forms.
    • HHAs that served 59 or fewer unduplicated patients from April 1, 2011 through March 31, 2012 who met HHCAHPS survey-eligibility criteria are eligible for an exemption from participating in the HHCAHPS Survey for the calendar year (CY) 2014 annual payment update (APU).
    • Click here for more information.
  • January 17 the data from quarter 3 of Calendar 2012 will be updated.
OASIS Manual Update
  • CMS has completed the annual revision of the OASIS manuals and the information is now available for download, please click here.
Hospice Quality Reporting Update
  • January 1, 2013 began the data collection period that affects the FY 2015 payment rate.
  • January 31, 2013 is the submission deadline for the first hospice quality measure (QAPI/structural measure data).
  • CMS has developed specific instructions for hospice quality measure submission registration as some agencies have had difficulties registering online and submitting data. Please review this document if you are having any issues with the online submission Website.
Minor Coding Change
  • There is a coding change for HHA’s on skin cancer (173 code)
    • This will be applied retroactively and agencies can re-file a claim on this issue
    • MAC’s have been sent a letter on this issue with instructions and should be providing education to providers on how to take advantage of this coding change. Please contact your MAC for additional information.
New OASIS Web Based Trainings  
Proposed Changes to Hospice Data Collection
  • CMS is seeking public comments on possible additional data collection on hospice claims, and have an update on revisions to hospice cost reports.  
  • For additional information on the proposed changes and additions please click here.
  • To see a sample of the proposed claims form, please click here.
  • CMS is asking for feedback on the suggested data collection by January 31, 2013; please send comments to
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