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Hospice Quality Reporting Program (HQRP)

FY 2017 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements Proposed Rule

HQRP Overview

The Patient Protection and Affordable Care Act (ACA) mandated the initiation of a quality reporting program for hospices (HQRP). The Center for Medicare and Medicaid Services (CMS) determines the quality measures that hospices must utilize and the processes hospices must use to submit data for those measures. Hospices that fail to comply with HQRP requirements will incur a 2 percentage point reduction to the market basket percentage increase for the corresponding fiscal year.

HQRP Requirements

Hospices are required to comply with requirements for two HQRP program components that comprise the data sources for the measures:

  • Hospice Item Set (HIS)... A component of the HQRP for the FY 2016 APU and subsequent years. HIS is a patient level data collection tool developed by CMS.  Hospices are required to submit an HIS-­Admission record and an HIS­-Discharge record for each patient.

  • CAHPS® Hospice Survey... A component of the HQRP for the FY 2017 APU and subsequent years. CAHPS Hospice is a post­death family caregiver survey developed by CMS for the assessment of patient and family experiences with hospice care.

What's New

  • HQRP

    • Hospice Quality Reporting:  Annual Payment Update... On June 29, 2016 CMS mailed notifications to hospices that were not in compliance with Hospice Quality Reporting requirements.  If you received a notice of non-compliance you have the opportunity to submit a request for reconsideration on quality data submissions affecting your FY 2017 APU. See the instructions in your notification letter and on the Reconsideration Requests webpage. (07/25/16) 

    • New Hospice Data Directory Now Available... This directory includes the Hospice Agency dataset, which provides a list of all hospices certified by Medicare, and high-level demographic data for each agency. (06/14/16)  

    • Webinar Slides on HQRP Data Submission Requirements ​(05/10/16)

  • Hospice Item Set (HIS)

  • CAHPS® Hospice Survey

HQRP General Information

  • Help Desks

      • For general HQRP questions.
    • Technical Help Desk: help@qtso.com Phone: 1-877-201-4721 (Monday-Friday 7:00 a.m. - 7:00 p.m. Central Time).
      • For questions related to the HART tool, QIES ASAP, or other technical assistance information, including error messages or record rejections.
    • Reconsideration Help Desk: HospiceQRPReconsiderations@cms.hhs.gov
      • To submit a reconsideration request or to ask other questions related to reconsideration.
Updated: 7/25/2016