The Affordable Care Act (ACA) directed the establishment of quality reporting requirements for Hospice programs. One of the initial requirements was the introduction of the Hospice Item Set (HIS). Effective on July 1, 2014, all Medicare-certified Hospice providers were
required to submit HIS-Admission and HIS-Discharge records on all patient admissions and discharges at their Hospice regardless of the patient's payer source, age, or where the patient received Hospice services.
