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CMS Regulations

 

The hyperlinks below provide direct access to regulatory information provided by CMS. Click the red underlined text to navigate to the corresponding page. The CMS guidance will open in another tab so you can keep your place in the Axxess Help Center.

Medicare Benefit Policy Manual


Chapter 9: Coverage of Hospice Services Under Hospital Insurance

 

Chapter 9 of CMS’ Medicare Benefit Policy Manual provides regulatory information related to hospice service coverage, including:

This chapter is one of the most helpful resources when starting out.

 

Chapter 11: Processing Hospice Claims

 

Chapter 11 provides information on claims processing and submission, including procedures for hospice election and the following related transactions:

Hospice Election and Related Transactions

State Operations Manual


Guidance to Surveyors

 

Appendix M of the CMS State Operations Manual provides guidance to hospice surveyors. All hospice surveyors are required to use the regulations outlined in Appendix M, when assessing hospice agencies’ compliance with Federal requirements. This information is helpful for hospice professionals to understand which items and areas of the organization must be inspected or reviewed during surveys, and ensure that all requirements are met and all organizational operations remain compliant with CMS requirements.

HIS Manual


Guidance Manual for Completion of the Hospice Item Set (HIS)

 

The HIS Manual provides comprehensive guidance for completing the Hospice Item Set and submitting HIS files to CMS through the Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system. The manual is broken down into sections, including:

 

Note: Throughout the Axxess Hospice system, embedded tool tips provide guidance directly from the HIS Manual to assist users as they complete each HIS item.

CMS Hospice Center


CMS Hospice Center

 

The Hospice Center has the most up-to-date releases from CMS, including the annual Hospice Wage Index and the Final Rule, which adds new compliance requirements each year.

 

Hospice professionals can subscribe to MLN Connects Provider eNews to receive a weekly newsletter with the latest information on:

CAHPS Hospice Survey


CAHPS Hospice Survey Website

 

CMS’ official website for the CAHPS Hospice Survey provides comprehensive information on CAHPS survey requirements for hospice agencies, compliance, and additional information including the following sections:

 

Axxess is a CMS-approved vendor for CAHPS Hospice Surveys. Click here for additional information on AxxessCAHPS for Hospice.

 

Hospice Quality Reporting Program (HQRP)

 

The HQRP website provides provides consumer and provider information regarding the HQRP (mandated by the Affordable Care Act of 2010) and analytic information on CMS’ public reporting of HIS and CAHPS Hospice Survey data.

 

Hospice professionals can subscribe to the PAC QRP listserv for the latest hospice quality reporting information including training, stakeholder engagement opportunities, and general updates on the following items:

Index