Hospice Quality

  The Hospice Quality Reporting Program (HQRP) is a program established by the Centers for Medicare & Medicaid Services (CMS) in the United States to monitor and improve the quality of hospice care. It consists of four main elements: Hospice Information Set (HIS), Hospice Visits in the Last Days of Life (HVLDL), Hospice Care Index (HCI), and the Hospice CAHPS Survey

 The QAPI process in hospice agencies is a structured and comprehensive approach to ensuring the highest quality of care for patients and their families. It supports compliance with regulations, promotes continuous improvement, enhances patient satisfaction, and contributes to the agency's financial stability by reducing risks and optimizing care delivery. 

 The Medicare Hospice HOPE Tool is a new way for hospice workers to check how patients are doing and what care they need. It collects information not just at the beginning and end of care, but also during the first month, so care can be adjusted in real time. This helps make sure patients and their families get the right support when they need it most 

The TPE program is designed to help providers improve their billing practices and reduce claim denials.

It focuses on providers with high denial rates or unusual billing practices.  Medicare Administrative Contractors,  MACs, are assigned by CMS to conduct these audits.