Hospices lack a survey process that other provide types already have. Hospices got many changes they asked for in the survey revamp final rule, but they did strike out in one area — an informal dispute resolution process for survey deficiencies. The National Association for Home Care & Hospice “reminded [the Centers for Medicare & Medicaid Services] that there is not any type of dispute resolution process available to hospices for a deficiency(ies) cited upon survey as there are for other provider types,” NAHC says in its rule analysis. “Such a process is especially important when enforcement remedies are being added to the survey process,” the trade group stresses. “Because the IDR process was not proposed in this rule, we are not including it at this time,” CMS says in the rule published in the Nov. 9 Federal Register. “We will consider the commenter’s suggestions for future rulemaking,” however, the rule offers.