Payments to Hospice Agencies That Do Not Submit Required Quality Data

30.2.1 - Payments to Hospice Agencies That Do Not Submit Required Quality Data (Rev. 2696, Issued: 05-03-13, Effective: 10-01-13, Implementation: 10-07-13) Section 3004 of the Affordable Care Act directs the Secretary to establish quality reporting requirements for Hospice Programs. Penalties for Failure to Report For fiscal year 2014, and each subsequent year, failure to submit required quality data shall result in a 2 percentage point reduction to the market basket percentage increase for that fiscal year. Medicare will provide A/B MACs (HHH) with a Technical Direction Letter (TDL) prior to each fiscal year, identifying hospice agencies not meeting the quality data reporting requirements. A/B MACs (HHH) must update the quality indicator in the Provider Outpatient Specific File for each identified, hospice agency subject to the payment reduction.