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News and Press: News & Views

CMS Issues Clarification on Billing and Payment

Monday, July 15, 2019   (0 Comments)
Posted by: Kyle Simon

Courtesy of the National Association for Home Care & Hospice

The MLN Matters article, SE17027 – Clarification of Billing and Payment Policies for Negative Pressure Wound Therapy (NPWT) Using a Disposable Device, has been revised with additional billing information for home health agencies.

Specifically, the article was updated to clarify the description for coding the TOT UNIT/COV UNIT field on Type of Bill 34X on page six. The change shows that home health agencies should report 1 in this field.

All other information remains the same.

For further clarification, the National Association for Home Care & Hospice (NAHC) is including the following text from the Centers for Medicare & Medicaid Services (CMS).

Enhanced Assessment Submission & Processing System/User Tool for Home Health Providers for January 1, 2020

 In March 2019, the Centers for Medicare and Medicaid Services (CMS) began delivering a series of enhancements to the Quality Improvement and Evaluation System (QIES). The upgraded system, called the Internet Quality Improvement and Evaluation System (iQIES), is an Internet facing, cloud-based system that is more reliable, intuitive, secure, and accessible. iQIES will be rolled out to post-acute care providers using a phased approach that began with Long Term Care Hospitals (LTCHs), to be followed by Inpatient Rehabilitation Facilities (IRFs) in October 2019. Home Health Agencies (HHAs) will be able to receive access to iQIES starting in July 2019 as part of the upcoming release on January 1, 2020. In January 2020, home health agencies (HHAs) will have access to a new patient assessment upload and reporting interface that will replace the current Assessment Submission & Processing (ASAP) and the Certification and Survey Provider Enhanced Reports (CASPER) submission and reporting systems. This release will also include the ability for HHA providers and vendors to create assessments in iQIES, replacing the jHAVEN user tool. In addition, this release will include survey and certification functionality for HHAs.

What to Expect/Future Communications For additional information about the release of iQIES for HHAs, the following communications will be made available in coming weeks and in the next several months:

  • iQIES Provider Security Official Request Letter – Instructions on how your organization can assign a “Provider Security Official” and begin the account creation process. A Provider Security Official will need to obtain this access in iQIES in order to approve access requests for your organization. We expect to start onboarding HHA Security officials in July 2019; onboarding for HHAs will continue for several months and will follow a schedule according to your organization’s state (details will be included in these instructions, to be sent in coming weeks).
  • iQIES Training Video Announcement – Resources for how to navigate the iQIES system and how to utilize the improved functionality.
  • iQIES XML Upload/Assessment Tool Release Announcement- Announcement of January 1, 2020 GoLive date for HHAs.
  • iQIES FAQs – Frequently asked questions that will be updated periodically based on end-user feedback to improve the overall experience.

Although onboarding for HHAs will begin in July, iQIES assessment submission functionality will not be available until January 1, 2020. Although this functionality will not be available immediately, we encourage HHA security officials to request access to iQIES as soon as onboarding for your organization’s state has begun. Upon receiving access, security officials will have access to ‘My Profile’ and ‘Help’ in iQIES.

For more information, visit http://qtso.cms.gov or contact their service desk at: help@qtso.com or call (800) 339-9313 with any questions.


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