
Compliance Monitor (02/18/2025)
Your source for federal updates
February 2025 Compliance Activity
Effective February 1, 2025 | Revised Home Health Change of Care Notice Form CMS improved the Home Health Change of Care Notice (HHCCN) form’s readability and design. Starting February 1, 2025, you must use the revised form to notify Medicare Fee-for-Service patients getting home health care benefits of the plan of care changes. The revised HHCCN is now available in Chinese, Vietnamese, and Korean, in addition to English and Spanish. Home Health Change of Care Notice (HHCCN) |
February 2025 Refresh | Medicare Care Compare Refresh Hospice quality scores are publicly reported on the Care Compare website and updated every quarter. CAHPS star ratings are updated in this quarterly refresh Medicare Care Compare https://www.medicare.gov/care- compare/ |
The completed form must be posted for three months, from February 1 until April 30 The completed form must be submitted to OSHA by early March | OSHA Form 300-A form Form 300-A is the Summary of Work-Related Injuries and illnesses At the end of each calendar year, Form 300- A must be completed and certified by a company executive as correct and complete and posted in the workplace annually, where notices to workers are usually posted. Establishments under Federal OSHA jurisdiction can use the ITA Coverage Application to determine if they are required to electronically report their injury and illness information to OSHA. Establishments under State Plan jurisdiction should contact their State Plan. https://www.osha.gov/news/newsreleases/tr ade/01092023 Form 300-A https://www.osha.gov/recordkeeping/forms |
March 1, 2025, if any breaches in 2024 | HIPAA Breach Reporting HIPAA-covered entities and their business associates are required annually to notify the Office for Civil Rights (OCR) of breaches of unsecured protected health information (PHI) that affect under 500 individuals. Report breaches of unsecured protected health information that affect fewer than 500 individuals utilizing the web portal in the link. Submitting a notice of breach to the HHS secretary https://www.hhs.gov/hipaa/for- professionals/breach- notification/breach- reporting/index.html |
CDC Respiratory Illnesses Data Channel
Overall respiratory illness activity in the United States
https://www.cdc.gov/respiratory-viruses/data/index.html
Top Items
CMS Stops Hospice Special Focus Program (SFP)
CMS posted the following message on the SFP website on 2/14/2025: Effective February 14, 2025, implementation of the Hospice Special Focus Program for CY 2025 has ceased so that CMS may further evaluate the program. Please contact QSOG_Hospice@cms.hhs.gov for policy questions. CMS is exercising its enforcement discretion to cease implementing the Hospice Special Focus Program (Hospice SFP) for CY 2025 and will further explore options for program implementation and rulemaking.
Hospice Provider Updates
Hospice Preview Reports for the May 2025 Refresh – NOW AVAILABLE IN QIES
Providers can now access the latest Provider Preview Reports via the Certification and Survey Provider Enhanced Reports (CASPER) application. These reports contain provider performance scores for quality measures, which will be published on the compare tool on Medicare.gov and the Provider Data Catalog (PDC) during the May 2025 refresh.
In the Provider Preview Reports, HIS measure scores are based on HIS data submitted by hospices from Quarter 3, 2023 through Quarter 2, 2024. CAHPS measure scores are based on CAHPS data submitted from Quarter 3, 2022 through Quarter 2, 2024. CAHPS Star Ratings are calculated based on data from Quarter 2, 2022 through Quarter 1, 2024. The claims-based measures reflect claims data collected from Quarter 1, 2022 through Quarter 4, 2023.
Once released in CASPER, providers will have 30 days during which to review their quality measure results. The preview period for the latest Provider Preview Report lasts from February 13, 2025 to March 14, 2025. Although the actual “preview period” is 30 days, the reports will continue to be available for another 30 days, or a total of 60 days. CMS encourages providers to download and save their Hospice Provider Preview Reports for future reference, as they will no longer be available in CASPER after this 60-day period.
Learn more about the Provider Preview Report (HIS and Claims-based measures) here and about the CAHPS Preview Report here. Hospice QRP Key Dates for Providers can be found here. The 3rd Edition HQRP Public Reporting Tip Sheet is available here.
Home Health Provider Updates
Home Health Consolidated Billing: CY 2025 HCPCS Code Update
See the revised instruction to your Medicare Administrative Contractor (PDF) to learn about CY 2025 changes to HCPCS codes used for home health consolidated billing. CMS updated the non-routine supply code list to:
- Add 5 new codes
- Update the description for 3 codes from the previous list
All Providers
Travel Allowance Fees for Specimen Collection – 2025 Updates
Learn about CY 2025 updates effective January 1, 2025 (PDF):
- Specimen collection fees and determining eligibility
- Travel allowance policies and mileage rate
CMS Announcement on Federal Navigator Program Funding
The Centers for Medicare & Medicaid Services (CMS) today announced a reduction in funding for the Affordable Care Act (ACA) Navigator program to $10 million. The savings from this reduction will allow the Federally-facilitated Exchanges (FFEs) to focus on more effective strategies that improve Exchange outcomes and to reduce the user fee in future years, which would translate into a reduction in premium. This change will directly benefit people enrolled without subsidies who pay the full premium for their health insurance.
Education Opportunities
The 2025 CMS Quality Conference: Elevating Quality—Advancing Optimal Health for Individuals, Families, Caregivers, Clinicians, and Communities agenda is available! Get ready for the premier quality healthcare conference with:
- 25+ breakout sessions
- 8 unique tracks
- 3 days
- 150 speakers
- 64 poster presentations
- 3,000+ attendees
Now is the perfect time to register, while space is still available.
Three Days of Quality Topics
Take a glimpse of what you can expect during our three-day conference here. Continue to check back for more conference details.
Hotel Room Blocks Available
Hotel rooms blocks are available at the Hilton Baltimore Inner Harbor and Baltimore Marriott Inner Harbor at Camden Yards for $150 per night.
We can’t wait to welcome you to the 2025 CMS Quality Conference. Until then, what are you most looking forward to about the Quality Conference? Tell us on social media with #QualCon25.