Frequently Asked Questions from Hospices
In general, all Medicare-certified hospices (identified by CMS Certification Number [CCN]) must participate in the CAHPS Hospice Survey in order to receive their full Annual Payment Update (APU). However, certain exemptions are granted by CMS for size or newness.
Exemption for Size
|"Reference Period" or Decedent Date of Death||Participation CY||Exemption Form Deadline||Exemption Request Review by CMS||Affects APU|
|Jan 1 to Dec 31, 2019||2020||Dec 31, 2020||2021||FY 2022|
|Jan 1 to Dec 31, 2020||2021||Dec 31, 2021||2022||FY 2023|
|Jan 1 to Dec 31, 2021||2022||Dec 31, 2022||2023||FY 2024|
|Jan 1 to Dec 31, 2022||2023||Dec 31, 2023||2024||FY 2025|
FY – Fiscal Year
Exemption for Newness
If you have questions about the Data Submission Reports for your hospice, contact the CAHPS Hospice Survey Data Coordination Team via email at: firstname.lastname@example.org.
Below is a brief overview of what is presented in your hospice’s reports. These reports will be posted to your hospice’s data warehouse folder within two days following an upload by your survey vendor. The four reports are:
Hospices are required to participate in the CAHPS Hospice Survey on an ongoing monthly basis.
It is permissible for patients and/or their caregivers to be asked questions about their care during their hospice stay or during bereavement calls where this is a normal part of quality improvement activities.
Activities and encounters that are intended to provide or assess clinical care or promote patient/family well-being are permissible. If patients or their caregivers are asked questions during their hospice care, we suggest that such questions be worded in a neutral tone and not slanted toward a particular outcome. In addition, questions must not resemble CAHPS Hospice Survey items or their response categories. Hospices should focus on overall quality of care rather than the measures reported to CMS.
Caregivers should not be given any formal, CAHPS Hospice Survey-like, patient experience/satisfaction survey during their family member’s hospice stay or after the death of the patient. A formal survey, regardless of the mode employed, is one in which the primary goal is to ask standardized questions of a significant portion of a hospice’s patient/caregiver population.
Activities and encounters that are primarily intended to influence how caregivers, or which caregivers, respond to CAHPS Hospice Survey items must be avoided.
This page was last modified on 11/04/2022.