New Hospice SSVI & HCI Comparison Tool!

You may have heard that the government is introducing the Service and Spending Variation Index (SSVI) to increase oversight and transparency regarding hospice utilization and Medicare spending that occurs outside the hospice benefit. To help you understand the differences between the new Service and Spending Variation Index (SSVI) and the existing Hospice Care Index (HCI), we have created a handy comparison tool! This tool highlights a major regulatory shift where agencies now earn "risk points" for negative findings, meaning a lower score is better for program integrity. These updates are designed to identify potential fraud and help CMS target audit efforts by flagging unusual patterns in skilled visits, discharges, and spending.

This SSVI vs. HCI Comparison Tool provides a side-by-side breakdown of the new SSVI compared to the current HCI. It clarifies the different scoring logic between the two—where a "zero" is perfect for SSVI but a "ten" is perfect for HCI—helping your team accurately interpret performance data. By highlighting specific risk areas like "outside spending" and "visits near death," this allows you to quickly identify which utilization patterns might trigger a red flag for Medicare!

You can download a PDF version of the tool below!

Annette Lee

Founder Annette Lee built Provider Insights to give home health and hospice providers peace of mind. She’s had decades of experience at CMS and provided many years of consultancy services—including contracting as a Medicare Administrator with MAC.

She speaks Medicare-ese fluently and knows how to make the most complicated rules make sense for patient-centered providers who don’t have the time to dissect every rule. Agencies that work with Provider Insights can rest assured they’re fully compliant with the regulations that are in place today. And they’ll stay compliant when those regulations change tomorrow.

https://www.providerinsights.com/
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