Hospice Quality Reporting Program (HQRP) Non-Compliance

PUBLISHED: Aug 15, 2017
Relevant to: Hospice

The Centers for Medicare and Medicaid Services (CMS) provided notifications to facilities that were determined to be non-compliant with Hospice Quality Reporting Program (HQRP) requirements for calendar year (CY) 2016, which will affect their fiscal year (FY) 2018 Annual Payment Update (APU).

Non-compliance letters were dated and sent both by United States Postal Service (USPS) and via the QIES - Certification and Survey Provider Enhanced Reporting (CASPER) system on July 18, 2017. The CASPER letter also identifies why the provider is non-compliant.

Hospice facilities are advised to check their CASPER folder to determine if they received this letter.

According to CMS:

  • Any hospice determined to be non-compliant with the HQRP requirements may be subject to a two (2) percentage point reduction in their APU. For example, CY 2016 data affects FY 2018 payment.
  • Hospices that receive a letter of non-compliance may submit a request for reconsideration to CMS via email no later than 11:59pm PST, August 17, 2017. Failure to submit a request for reconsideration by the deadline means you accept that your hospice is non-compliant with HQRP requirements.
  • Every hospice that is non-compliant with their HQRP requirements received notification on July 18, 2017 so it is clear that the 30-day period starts on July 18, 2017 and ends on August 17, 2017 for sending in reconsideration requests to CMS.

If you receive a notice of non-compliance and would like to request a reconsideration, see the instructions in your notification letter and on the Hospice Reconsideration Requests webpage.

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