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April 5, 2022

Hospice Quality Reporting Program (HQRP) Compliance

Most new hospices are not aware that all Medicare-certified hospice providers must comply with the individual submission requirements of the Hospice Quality Reporting Program (HQRP) or be subject to a percentage point reduction in their annual payment update (APU). The payment reduction is currently 2 percent of the APU for existing hospices. Beginning in FY2024, the payment reduction will increase to 4 percent of the APU for all 2022 non-compliance hospices. Payment reductions are based on individual fiscal year reporting.

To assist and support new and existing hospices, the CMS Hospice Quality Reporting Program (HQRP) webpageExternal Website provides detailed information and training a hospice may use to ensure HQRP compliance. Below are just a few of the resources you will find.

  • HQRP Training and Education LibraryExternal Website – Provides 24/7 access to materials from past HQRP trainings and educational events. Materials are organized by event in order of the date of release.
  • HQRP Requirements and Best PracticesExternal Website – Provides updates about reporting requirements and best practice methods to help hospices succeed with the HQRP. Specific resources available include a Provider Toolkit section with “Getting Started” documents and tip sheets for all current and new providers. Also includes:
    • The Hospice Item Set (HIS);
    • The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Hospice survey; and
    • Administrative data (Medicare claims).
  • Hospice QRP Announcements & SpotlightExternal Website – Provides recent news and updates pertinent to the HQRP, including announcements about newly posted resource guides and factsheets, available Quarterly Update documents, and Annual Payment Updates (APU) updates, among other notifications.
  • Hospice Public Reporting: Background and AnnouncementsExternal Website – Provides an overview of public reporting, Care CompareExternal Website, and some general resources for the HQRP.

The CMS HQRP webpages were developed to decrease burden, increase knowledge and provide a smooth transition, especially for new and existing hospice providers, to learn the HQRP program that is required for all patients in a Medicare-certified hospice.

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