1/1 HIC Numbers Invalid in 2020

As of today, HICNs are still being used to identify patients on 14% of Medicare claims.  Starting in four weeks, these claims will be returned, as MBIs are required after December 31, 2019.  Find all the information you need on the conversion to MBIs at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/SE18006.pdf.

PY2020 QIP Final PSR and PSC Released

CMS has released the PY2020 ESRD QIP Final Performance Score Reports (PSR) and Performance Score Certificates (PSC).  Find their announcement at https://www.qualitynet.org/news/5de54e86a63d67002379772e.  Authorized facility staff may log onto the EQRS QIP system at https://www.qualitynet.org/ to download and save these documents as soon as possible.

PY 2020 Final PSR: The PY2020 Final PSR documents your facility’s performance during 2018 and any payment reduction that CMS will impose for reimbursement on 2020 claims.  The Final PSR reflects any applicable revisions to your facility’s performance scores from those displayed during the Preview Period.

PY 2020 PSC: Each facility is required to download, print, and post both the English and Spanish versions of the PSC in a prominent patient area within fifteen business days of their availability; facilities also must ensure that these documents remain posted throughout 2020.

Save Your Facility’s Documents: PY 2020 Final PSRs and PSCs will only be available on EQRS until December 31, 2019.  CMS encourages each facility to save an electronic copy of their Final PSR and PSC for reference, reprinting, and, should the need arise, re-posting throughout the year.  Facilities who do not save a copy by December 31 can request an additional copy by e-mail from the QualityNet Help Desk, but should expect a delay in receiving it.

If You Have Questions: Find more information on how to access and understand your reports in the PY2020 supporting documents on the ESRD QIP Resources page at https://qualitynet.org/esrd/esrdqip/resources#tab2.  For questions about the information in this post, contact the ESRD QIP Support Team using the ESRD QIP Q&A Tool at https://cmsqualitysupport.service-now.com/qnet_qa.  For questions about EQRS or CROWNWeb, contact the QualityNet Help Desk at qnetsupport-esrd@hcqis.org or 866-288-8912, 5am-5pm PT, Monday-Friday.

2020 QIP Medication Reconciliation Measure

While reviewing the QIP Medication Reconciliation Reporting Measure for CY2020 (see https://nwrnbulletins.wordpress.com/2019/12/02/1-1-medrec-qip-measure-in-eqrs-cw/), we’ve encountered some possible confusion about which patients to include, which we’d like to clarify.  The the clearest definition we’ve found is in the CMS National Quality Forum document on the MedRec Measure, at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/Downloads/NQF-2988-Patients-Receiving-Care-at-Dialysis-Facilities.pdf, p.8:

  • “DENOMINATOR STEP 1.  Identify all in-center and home hemodialysis and peritoneal dialysis patients permanently assigned to the dialysis facility in the given calculation month.
  • “DENOMINATOR STEP 2.  For all patients included in the denominator in the given calculation month in ‘Denominator Step 1,’ identify and remove all in-center hemodialysis patients who received < 7 dialysis treatments in the calculation month.
  • “DENOMINATOR STEP 3.  Repeat ‘Denominator Step 1’ and ‘Denominator Step 2’ for each month of the one-year reporting period.”

1/1 MedRec QIP Measure in EQRS/CW

CMS has released an updated version of EQRS/CROWNWeb that supports QIP CY2020 data reporting requirements.  It includes Medication Reconciliation (“MedRec”) fields on the CROWNWeb Manage Clinical screens.  The QIP MedRec Reporting Measure requirement, which assesses evaluation of patients’ medication, begins with PY2022, and data reporting for it begins January 2020 for all HD and PD patients.  Facilities don’t need to enter MedRec data into EQRS/CROWNWeb during 2019; however, the new release allows review of the MedRec fields in preparation for use in 2020.  A draft of Version 5.0 of the CMS ESRD Measures Manual for the 2020 Performance Period includes a chapter on the MedRec Measure (pp. 147-151); find it at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/Downloads/Measures-Manual-v50.pdf.

For assistance with EQRS/CROWNWeb or the ESRD QIP, contact the ESRD QIP Support Team using the ESRD QIP Q&A Tool at https://cmsqualitysupport.service-now.com/qnet_qa.  If you have questions or concerns on use of the ESRD QIP application, contact the QualityNet Help Desk at qnetsupport-esrd@hcqis.org or 866-288-8912, 5am-5pm PT, Monday-Friday.