QIP/PSR Preview Extended to 8/31; Patient Lists

CMS has extended the ESRD QIP Preview Period for PY2016 to 5pm EDT Monday, August 31, 2015.  The Preview Period is an important activity for scoring facility performance in the ESRD QIP.  It provides an opportunity for facilities to review their scores and pose questions to CMS before those scores are finalized later this year.  Facilities with ESRD QIP scores that fail to meet or exceed the minimum Total Performance Score (TPS) face payment reductions of up to 2%.  CMS has extended the Preview Period in order to ensure that facilities have sufficient time to access ESRD QIP 1.0.0, and to pose clarification questions and/or formal inquiries as necessary through that system.  CMS also wants to ensure that facilities receive a timely and accurate PY2016 payment reflective of ESRD-QIP performance and reporting on PY2016 program quality measures, starting with January 2016 claims submitted by facilities.

Patient List Completeness: CMS has received multiple clarification questions from facilities indicating that the facility-specific patient lists currently available through ESRD QIP 1.0.0 may not include all data that they need to evaluate and interpret the scores provided in the Preview Performance Score Report (PSR).  In response, CMS has created a more-comprehensive patient list for each facility, and plans to deliver that enhanced set of data via ESRD QIP 1.0.0 upon request.  To obtain the comprehensive patient list:

  1. Submit a clarification question via ESRD QIP 1.0.0 requesting the patient list report.
  2. ESRD QIP 1.0.0 will send an email to the address associated with the facility POC’s QIMS account.  The body of the email will include Arbor Research contact phone numbers and the Clarification Question ID# (the request’s “ticket number”) for the request.  An attachment will contain the requested report in an encrypted file.
  3. Save the file to your computer, then call Arbor Research to get the password to decrypt the patient list for your use.  Be sure to have your CMS Certification Number (CCN) and the ticket number at hand when making this call.
  4. If your request covers multiple facilities, then the ESRD QIP system will send facility patient lists for the facilities associated with the POC.  In the event that this does not fulfill the entire request, contact the QualityNet Help Desk for further assistance.

Continue to use ESRD QIP 1.0.0 to enter clarification questions, systemic clarification questions, and other questions during the course of the Preview Period.

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