Recommendation #3: As a condition of payment, the Secretary should require that hospices report information on all visits provided to the hospice patient on hospice claims, including length of visit.
In order to facilitate better and more complete data collection, hospices should report comprehensive information on patient visits (including telephonic contacts) on hospice claim forms, including length of visits or interactions. This enhanced and comprehensive data collection should be collected and compiled with a clear and stated purpose in mind.
Recommendation #4: The Secretary should change cost reports to reflect new data on hospice claims, add new data fields to capture the full range of hospice revenues in order to provide a more accurate picture of hospices' financial performance, and increase the accuracy of cost report data through audits or other processes so that these data can be used in setting, adjusting, or rebasing payments, as warranted.
Hospice cost reports should be changed, to better reflect new data on hospice claims, adding new data fields to capture the full range of hospice revenues in order to provide a more accurate picture of hospices' financial performance. These changes would increase the accuracy of cost report data through audits or other processes so that these data can be used more reliably in analyzing hospice payment issues. Such an effort should be undertaken with hospice community input and cooperation.
The shared mission of all hospice providers, to bring compassionate, high-quality care to appropriately eligible patients and families coping with life-limiting illness continues to resonate strongly at the heart of the hospice community. As we as a nation move forward, facing the growing health care needs and demands of our diverse population, hospice is committed to serving the most vulnerable of our population, the dying.
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