Hospice Item Set (HIS) Program: Admission
Presented by Beth Noyce
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Quality reporting is vital to an agency’s bottom line, as failure to report on time during any given year penalizes the agency 2% of its annual payment update two fiscal years later. Yet some agencies don’t submit data on time, don’t correct erroneous data, don’t check to ensure HIS documents are accepted by CMS, or simply don’t report at all. Incorrect, late, or missing reports can affect agency marketing efforts as well. When agencies report incorrectly, their Hospice Compare scores can publish at artificially low rates. Clinical leaders, as well as anyone else who contributes to HIS data at the hospice agency, will benefit from this course. Participants will learn to report HIS data accurately and on time, enhancing their Hospice Compare scores and allowing full payment of their successful claims. This is the first course in a two-part series; the second course is Hospice Item Set (HIS) Program: Discharge.
Meet your instructor
Beth Noyce
Beth Noyce, RN, BSJMC, HCS-C, is a home health and hospice consultant, mentor, educator, and regulatory Jedi who helps agencies know when they are at risk. She draws on her varied leadership and patient care hospice and home health experience gained since 1997. Job description? She helps keep people out of trouble. Beth was…
Chapters & learning objectives
1. What Is HIS, and Why Report It?
Chapter 1 will prepare participants to discuss the importance of the Hospice Quality Reporting Program to an agency’s financial and overall success. Understand HIS’s origin, conventions, and role as part of the patient record. Learn how, when, and in what order to submit the HIS, and who documents vs. who extracts the data. Find out how to avoid the 2% financial penalty for not reporting on time.
2. Entering and Extracting Administrative Information
Chapter 2 focuses on capturing accurate identifying data in the patient record for the patient, the agency, and the individuals who contribute to or extract from the patient record any HIS data. Review and learn to apply relevant HIS conventions.
3. Entering and Extracting Clinical Information
Chapter 3 switches the focus to capturing accurate clinical process data in the patient record. Study how to apply relevant HIS conventions to accurately entering and extracting clinical process data in the patient record.
4. Don’t Fall Short
Chapter 4 instructs participants to submit and correct HIS records promptly to avoid a 2% payment penalty. Understand the basics on submitting the HIS to Medicare, correcting errors when a record is rejected, how to determine when an HIS record is accepted by the QIES ASAP system, and penalties for late and rejected HIS documents.
