Hospice Quality Reporting (HQRP) Support
Trained HQRP submission staff for hospice agencies. HOPE assessment data (which replaced HIS as of October 1, 2025), CAHPS Hospice Survey administration, and Hospice Visits in Last Days of Life measure submissions. Our specialists work inside HCHB, MatrixCare Hospice, WellSky Hospice, KanTime Hospice, and the CMS HOPE submission portal. 800+ providers trust us. Pilot in 2 weeks.
0:55
0:48HOPE replaced HIS in October 2025 and CAHPS Hospice deadlines are putting your 4 percent APU at risk .
Hospice Quality Reporting Program (HQRP) compliance is one of the highest-stakes documentation burdens in healthcare. Three pressures quietly threaten your full Annual Payment Update every single quarter.
HOPE replaced HIS on October 1, 2025
The Hospice Outcomes and Patient Evaluation (HOPE) assessment replaced the Hospice Item Set (HIS) for admissions on or after October 1, 2025. HOPE has more timepoints (admission, HUV1, HUV2, discharge) and more items than HIS. Most hospices are still catching up.
CAHPS Hospice Survey vendor coordination
The CAHPS Hospice Survey is administered by an approved vendor to families 2 to 3 months after the patient's death. Monthly sample files have to be submitted on time. Vendor missteps cost APU.
4-percentage-point APU penalty is real money
Failure to meet HQRP requirements triggers a 4-percentage-point reduction to the Annual Payment Update. On a $30 million hospice agency, that is $1.2 million per year. Most hospices learn too late.
Tell us about your agency.
Send us your situation and our team will scope the right setup, usually within one business day. No obligation.
What is Hospice Quality Reporting (HQRP) support ?
HQRP support is a trained remote team that handles the data collection, submission, and validation work behind your hospice quality reporting program. Not a generic data entry vendor. Hospice quality specialists who follow the CMS HOPE manual, the CAHPS Hospice Survey rules, and the public reporting timeline on Care Compare with the precision your APU depends on.
What your HQRP submission team actually handles, day to day
Pick the HQRP queues that hurt most. Your specialists absorb them. Your QA RN, clinical leadership, and compliance officer focus on clinical quality and audit response.
HOPE assessment timepoint tracking
Tracks all HOPE timepoints: admission, HOPE Update Visit 1 (HUV1) between days 6 and 15, HOPE Update Visit 2 (HUV2) between days 16 and 30, and discharge. Flags missing assessments before deadline.
HOPE data review and validation
Reviews completed HOPE assessments for data quality, item completion, and CMS submission readiness. Flags inconsistencies for clinician review before submission.
CMS HOPE portal submissions
Submits HOPE data to the CMS portal within the 30-day submission window. Tracks accepted, rejected, and pending records. Resubmits corrections.
CAHPS Hospice Survey coordination
Coordinates with your CMS-approved CAHPS Hospice Survey vendor. Submits monthly sample files. Tracks decedent eligibility (caregiver served at least 1 day, deceased 2 to 3 months prior).
Hospice Visits in Last Days of Life
Tracks the Hospice Visits in Last Days of Life measure (visits by RN or medical social worker in the last 3 days of life). Documents data for public reporting on Care Compare.
4 percent APU penalty monitoring
Monitors HQRP compliance month over month. Flags submission gaps before they trigger the 4-percentage-point Annual Payment Update reduction. Reports to clinical leadership monthly.
Care Compare public reporting prep
Reviews your hospice's public quality scores on Care Compare before each refresh. Flags scores that may impact referrals or public perception.
QAPI integration
Feeds HQRP submission data into your Quality Assessment and Performance Improvement (QAPI) program under 42 CFR 418.58. Tracks process improvement actions.
Hospice-trained support staff, not generic VAs
Most outsourcing companies offer call-center agents and call them "hospice support." We do not. Our hospice specialists are trained on 42 CFR Part 418 Conditions of Participation, HQRP timepoints, IDG cadence, and the sensitivity of end-of-life conversations before they ever touch a live patient chart.
Hospice trained, not generic
Every hospice support specialist passes an assessment on 42 CFR Part 418 Conditions of Participation, eligibility criteria, IDG composition, face-to-face encounter rules, and at least one major platform from HCHB, MatrixCare Hospice, WellSky Hospice, or KanTime Hospice before placement.
Stacked compliance posture
HIPAA + SOC 2 Type II + ISO 27001 + HITRUST. Plus alignment with 42 CFR Part 418, HQRP submission deadlines, and CAHPS Hospice survey requirements. Ask your current vendor for proof of all four. We will wait.
2-Week Risk-Free Pilot
Industry offers no trial. We give you 14 days of live hospice support work at the same rate. Cancel before day 14, owe nothing. No annual contracts after.
Staffingly vs DIY in-house vs generic VA vs onshore BPO
The real cost math for a single full-time hospice support FTE at a mid-size hospice agency.
From "let's talk" to live in 1 to 2 weeks
Six steps. Each one is documented. Nothing is mysterious.
Discovery call (15 min)
Tell us which hospice queue is loudest. Eligibility paperwork? IDG prep? HQRP submissions? On-call triage? We map it on a shared call. No prep needed from you.
BAA + platform access
Business associate agreement signed. Role-based access provisioned in HCHB, MatrixCare Hospice, Suncoast, WellSky Hospice, KanTime Hospice, or Netsmart.
Workflow shadow (2 to 3 days)
Your hospice support team shadows your IDG coordinator, RN reviewer, and intake coordinator. Scripts captured. Tone matched. Escalation rules locked.
Parallel pilot starts
Week 2 to 3. Your hospice support staff runs alongside your team. Daily 15-minute sync. You see every certification packet, every IDG agenda, every HQRP entry.
Decision point (end of week 2)
Pilot results reviewed. Go or no-go. No penalty if you cancel. Most hospice agencies keep going.
Full handoff, cadence locked
Certification-on-time and HQRP submission KPIs in your inbox. Weekly review with your account lead. Monthly QA audit. Expansion paths discussed.
How your hospice quality reporting (hqrp) specialist's day actually looks
A real shift, hour by hour. Times shown in your local time. HQRP submission work is steady, deadline-driven, and never breaks rhythm.
How Staffingly works, in practice
Inside the workA trained Staffingly specialist works inside your existing platform, with clear escalation back to your team.
One Flat Weekly Rate. No Surprises.
Dedicated senior care schedulers at a fixed weekly cost. Per scheduler FTE, per week. No contracts, no minimums, no hidden fees.
Want to compare against an in-house hire? Use the savings calculator.
Frequently asked questions
How does HOPE replace HIS and when did the transition happen?
The Hospice Outcomes and Patient Evaluation (HOPE) assessment replaced the Hospice Item Set (HIS) for admissions on or after October 1, 2025. HOPE has more timepoints than HIS: admission, HOPE Update Visit 1 (HUV1) between days 6 and 15, HOPE Update Visit 2 (HUV2) between days 16 and 30, and discharge. HOPE also includes more clinical items including symptom assessment, pain assessment, and care preferences. Our specialists are trained on the full HOPE manual and the CMS submission portal.
What is the CAHPS Hospice Survey and how does it work?
The CAHPS Hospice Survey is administered by a CMS-approved vendor to the family caregiver 2 to 3 months after the patient's death. The hospice agency submits a monthly sample file to the vendor. The vendor mails the survey, collects responses, and reports the results to CMS. Hospices with fewer than 50 decedents in the prior year may qualify for size-related exemption. Failure to participate triggers the 4 percent APU penalty.
What is the 4 percent APU penalty and how big is it?
Failure to meet HQRP requirements triggers a 4-percentage-point reduction to the hospice Annual Payment Update (APU). On a $30 million hospice agency, that is approximately $1.2 million per year. The penalty applies for the full fiscal year following the non-compliant submission period. Most hospices learn about the penalty after it has already hit their reimbursement.
What are the HQRP submission deadlines?
HOPE data must be submitted to the CMS portal within 30 calendar days of the patient's discharge from hospice. CAHPS Hospice sample files are submitted monthly to your approved vendor. Annual APU compliance is determined based on the rolling submission period each fiscal year. Our team tracks every deadline and submits with at least a 5-day buffer.
What does the HOPE data collection workflow look like?
RN case managers complete HOPE timepoints at admission, HUV1 (days 6 to 15), HUV2 (days 16 to 30), and discharge. Our HQRP specialists review every completed assessment for data quality and item completion before submission. Validated records are submitted to the CMS HOPE portal. Rejected records are corrected and resubmitted within the 30-day window.
How does the public reporting on Care Compare work?
CMS publicly reports hospice quality measures on Care Compare (formerly Hospice Compare). Measures include the HOPE-derived clinical measures, CAHPS Hospice family experience scores, and Hospice Visits in Last Days of Life. Public refreshes happen quarterly. Our team reviews your scores before every refresh and flags any items that may impact referrals or community reputation.
What does hospice HQRP support cost?
Per-FTE weekly pricing. $399 per week for a single HQRP submission specialist on a single-site hospice agency. $349 per week per FTE for 3 or more across HOPE submissions, CAHPS coordination, and QAPI integration roles. $299 per week per FTE for 10 or more across multi-site or multi-state hospice operators. No setup fees. Cancel before day 14 of the pilot, owe nothing.
How does the 2-week risk-free pilot work for HQRP support?
We onboard your team in 5 to 10 business days, shadow your current HQRP workflow for 2 to 3 days, then run live alongside your team for 14 days at the same weekly rate. You see every HOPE timepoint tracked, every CMS submission, every CAHPS sample file, and every APU compliance check in real time. Cancel before day 14 with no penalty. Most hospice agencies keep going.
President and CEO, Staffingly, Inc. 25+ years in IT consulting and healthcare BPO operations. One of the earliest US operators to set up an RPO/BPO delivery network in India. Leads AI-driven home care workflows that help agencies, home health providers, and multi-branch operators cut admin cost without compromising care.
