9/10 CY2019 ESRD PPS Proposed Rule

CMS has released a proposed rule for the CY2019 ESRD PPS, titled Proposed Updates to Policies and Payment Rates for the ESRD PPS, … QIP; and Payment for Renal Dialysis Services Furnished to Individuals with AKI and a fact sheet summarizing it.  The ellipsis in the title refers to durable medical equipment changes included in the same proposed rule.  Find the fact sheet at https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2018-Fact-sheets-items/2018-07-11.html.

The fact sheet includes summaries of:

  • Removing the Healthcare Personnel Vaccination, Pain Assessment, Anemia Management, and Serum Phosphorus reporting measures from the PY2021 QIP.
  • Restructuring domains and weights in the PY2021 QIP.
  • Expanding NHSN validation in both PY2021 and PY2022.
  • Adding measures for Percentage of Patients Waitlisted and Medication Reconciliation to the PY2022 QIP.
  • Adding a measure on Standardized First Transplant Waitlist Ratio for Incident Patients to the PY2024 QIP.

The proposed rule can be found on the Federal Register at https://s3.amazonaws.com/public-inspection.federalregister.gov/2018-14986.pdf.  Comments must be received by September 10, 2018.

7/26 CW Newsletter & Town Hall

CROWNWeb has published their July Newsletter, containing articles on the CROWNWeb Data Quality Goals progress, and the Missing Forms Report.  It also includes a CROWNWeb FAQ pointing out that clinical data which is entered and saved, but not submitted before the appropriate Clinical Closure Date, never makes it to CMS.  Find the July Newsletter at http://mycrownweb.org/wp-content/uploads/2018/06/July_2018_Newslette_508_Compliant.pdf and a catalog of past Newsletters at http://mycrownweb.org/news/newsletters/.  The Newsletter also announces a July 26, 2018 CROWNWeb Town Hall.

7/11 QIP PY2019 Preview Period & Webinar

The PY2019 Preview Period for the ESRD QIP will begin on July 23, 2018, and end on August 23, 2018.  The Preview Period provides an important opportunity for each facility to review and pose questions about its ESRD QIP scores and any potential payment reductions that may result.  During the Preview Period, facilities will be able to access a PSR to learn about how their estimated Total Performance Scores were calculated.  CMS updated this year’s Preview PSR to provide more-streamlined reporting of facility performance.

On July 11, 2018 CMS will present a webinar on the PY2019 Preview Period to discuss how to access, review, and submit clarification questions and/or a formal inquiry about a facility’s estimated scores before the close of the Preview Period.  Find details and register at https://register.gotowebinar.com/register/4774560365192234755.

In preparation of the PY 2019 Preview Period, CMS encourages all facilities to review and update their authorized users in accordance with the updated password requirements for EIDM accounts as applied to EQRS; see http://mycrownweb.org/2017/06/new-eidem-password-requirements/.  Each facility also must designate a point of contact (POC) in EQRS; facilities without a POC will not be able to access their Preview PSRs, nor will they be able to submit clarification questions or a formal inquiry.  If your facility has not established authorized users and a POC, CMS encourages you to do so as soon as possible.

The QualityNet ESRD QIP Resources page at https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier3&cid=1228776130548 provides additional information and tools.

Bring questions or concerns about use of the ESRD QIP system to the QualityNet Help Desk at qnetsupport-esrd@hcqis.org, or 866-288-8912 Monday-Friday between 5 am and 5 pm PDT.

7/9 New NHSN Consent Deadline

CDC has announces a deadline extension for completing the online NHSN Agreement to Participate and Consent form, referred to as the “Consent” in this announcement.  The new deadline for completing the Consent is July 9, 2018.

The Consent is accessible to only the NHSN Facility Administrator or Primary Contact user.  If the Consent is not completed by the new deadline, access to NHSN will be temporarily suspended, and facilities may not be able to submit data for their QIP.  Additionally, other NHSN users will receive an error message when they attempt to log in, redirecting them to the FA or Primary Contact.

For more information on how to complete the Consent process, see https://www.cdc.gov/nhsn/about-nhsn/faq-agreement-to-participate.html, or direct questions to NHSN@cdc.gov.

NMC Mailings to CA, OR, AK

CMS has begun mailing New Medicare Cards to California, Oregon, and Alaska, and to all new Medicare patients, and all new Railroad Retirement Board cards are due to be mailed today, June 1, 2018.  The new MBIs can be used as soon as they are received.  HICNs can be used until December 31, 2019, but everyone is encouraged to use MBIs as soon as they are available.

Patients may not have shredders at home, so to reduce identity theft, facilities are encouraged to help patients dispose of their old Medicare cards carefully as PII or Personally Identifiable Information.  New Medicare Cards and MBIs are also confidential PII.

A new MLN Matters document, New Medicare Beneficiary Identifier (MBI): Get It, Use It has been published to help acquaint facilities with the MBI.  It can be found at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/SE18006.pdf.  For more information, see https://www.medicare.gov/NewCard/.

MBI Lookup, RRB Cards

CMS hasn’t mailed the New Medicare Cards to the west coast yet, but you may encounter patients transferring or visiting from areas that already have their new Medicare Beneficiary Identifiers or MBIs. You may also have Railroad Retirement Board patients, whose cards have been mailed.  There’s a sample of RRB cards at https://www.rrb.gov/sites/default/files/2017-10/New%20Medicare%20Card%20Sample_0.pdf.

CMS’s top priorities in moving to new Medicare cards and numbers are to make sure that Medicare patients have continuous access to care, and that providers have the tools and information needed to make the change.  To look up a Medicare patient’s new Medicare number, see https://www.cms.gov/Medicare/New-Medicare-Card/Providers/New-Medicare-Card-Provider-Letter.pdf.

5/13-19 Women’s Health Week

HHS has declared May 13-19, 2018 to be National Women’s Health Week:

All three links provide extensive resources on women’s health.