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CMS Provides Another Opportunity for Burden Reduction Recommendations

Thursday, June 13, 2019   (0 Comments)

The Centers for Medicare & Medicaid Services (CMS) has issued a Request for Information (RFI) seeking new ideas from the public on how to continue the progress of the Patients over Paperwork initiative.

This RFI provides an opportunity for home health and hospice providers to submit recommendations for relief from burdensome regulations and policies.

CMS issued their first RFI related to the Patients over Paperwork initiative in the 2017 payment rate update rules for home health and hospice. CMS is seeking new ideas not conveyed in comments in response to the 2017 RFI.

CMS is requesting recommendations on the following areas of interest:

  • Modification or streamlining of reporting requirements, documentation requirements, or processes to monitor compliance to CMS rules and regulations;
  • Aligning of Medicare, Medicaid, and other payer coding, payment and documentation requirements, and processes;
  • Enabling of operational flexibility, feedback mechanisms, and data sharing that would enhance patient care, support the clinician-patient relationship, and facilitate individual preferences; and,
  • New recommendations regarding when and how CMS issues regulations and policies and how CMS can simplify rules and policies for beneficiaries, clinicians, and providers.

CMS is particularly interested in recommendations on how they could:

  • Improve the accessibility and presentation of CMS requirements for quality reporting, coverage, documentation, or prior-authorization;
  • Address specific policies or requirements that are overly burdensome, not achievable, or cause unintended consequences in a rural setting;
  • Clarify or simplify regulations or operations that pose challenges for beneficiaries dually enrolled in both Medicare and Medicaid and those who care for such beneficiaries; and,
  • Simplify beneficiary enrollment and eligibility determination across programs.

Comments are due 60 days after the June11 publication in the Federal Register.


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