The fiscal year 2026 proposed hospice rule brings cautious optimism to providers with a projected 2.4% payment increase, though experienced hospices know to factor in the ongoing 2% sequestration when calculating their bottom line. For those who've long struggled with regulatory inconsistencies, this rule delivers welcome clarification on who can certify hospice eligibility, aligning payment regulations with Conditions of Participation after years of confusion.

Most significantly, CMS confirms the HOPE assessment tool will launch on October 1, 2025, as scheduled. Despite earlier speculation about potential delays, hospices should maintain implementation momentum, with CMS planning one final training session this summer. Face-to-face attestation requirements also receive much-needed clarification, potentially reducing one of the top reasons for claim denials.

Beyond operational updates, CMS seeks provider input through several Requests for Information. They're exploring digital quality measurement using FHIR-based reporting, considering new quality measures around well-being and nutrition, and looking for opportunities to streamline regulations and reduce administrative burden. This represents a genuine opportunity for hospice providers to shape future requirements.

The relatively slim 62-page rule contains consequential changes that demand attention. Providers should thoroughly review the complete document, evaluate potential financial impacts, coordinate with state and national associations on comments, and ensure staff education aligns with the clarified regulations. With the comment period closing June 10 and the final rule expected in early August, the time to prepare is now. Let your voice be heard on these important changes that will influence hospice care delivery and reimbursement for years to come.

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The episode examines the top 10 home health survey deficiencies of 2024, underscoring the importance of compliance and effective care planning. Jennifer and Kim provide actionable strategies for home health agencies to enhance their survey readiness and improve quality care.
• Identifying and understanding the top 10 deficiencies for compliance
• Importance of comprehensive assessments in care planning
• Challenges faced in interdisciplinary care coordination
• Significance of infection prevention during home health visits
• Technical requirements regarding patient rights documentation
• Strategies for ongoing survey readiness and case management best practices
• Utilizing CHAP resources for enhanced compliance strategies
• Importance of ongoing education and staff training in home health settings

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Understanding the top 10 hospice deficiencies for 2024 is crucial for providers committed to compliance and quality care. This episode explores key themes like survey readiness, comprehensive assessments, case management roles, and the importance of continuous improvement strategies.

• Importance of recognizing key hospice deficiencies
• Challenges in today's survey environment
• Trends focusing on care planning and assessments
• Case management as an essential component of patient care
• Emphasis on interdisciplinary teamwork and communication
• Necessity of mock surveys for ongoing readiness
• Strategies for maintaining compliance and enhancing care quality

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Make Lives Better