CMS has published an MLN Matters bulletin on Implementation of Changes in the ESRD PPS and Payment for Dialysis Furnished for AKI in ESRD
Facilities for CY2019. Find it at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM11021.pdf.
CMS will host a 15 January, 2019 national call on the CY2019 ESRD PPS final rule and PY2021-22 QIP. Topics include legislative framework; updates to QIP measures, domain structure, and weights; and changes to NHSN data requirements and Validation Study. For details see https://www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Provider-Partnership-Email-Archive-Items/2018-12-20-eNews.html?DLPage=1&DLEntries=10&DLSort=0&DLSortDir=descending#_Toc532966944.
NHSN has advised that in order to be applied to your PY2020 QIP scores, your NHSN data for July 1-September 30, 2018 must be submitted and corrected by December 31, 2018. NHSN recommends:
Contact the NHSN Helpdesk at firstname.lastname@example.org with subject line “Dialysis” if you have any questions.
The NHSN software was updated to Version 9.2 on December 8, 2018, with many additions and changes, including analysis updates. Please carefully review pages 1 and 7-8 of the Version 9.2 release notes at https://s3-us-west-2.amazonaws.com/nwrn.org/files/NHSN/NHSN9.2.pdf for important details about these changes. To use any of the new analysis output options you must first Regenerate Datasets. Send any questions to the NHSN Helpdesk at NHSN@cdc.gov.
CMS has published a summary of CY2019 changes to the ESRD QIP and to reimbursement for AKI treatment, that were final on November 1, 2018. Find the summary at https://www.cms.gov/newsroom/fact-sheets/cy19-esrddme-nprm-cms-1691-f-and-dmepos-competitive-bidding-program-temporary-gap-period.
CMS has filed the CY2019 Final Rule for Medicare Program; ESRD PPS, Payment for Renal Dialysis Services Furnished to Individuals with AKI, ESRD QIP, DMEPOS CBP and Fee Schedule Amounts, and Technical Amendments to Correct Existing Regulations Related to the CBP for Certain DMEPOS. Find the CMS press release at https://www.cms.gov/newsroom/press-releases/cms-finalizes-policies-modernize-and-drive-innovation-durable-medical-equipment-dme-and-end-stage, the Final Rule at https://s3.amazonaws.com/public-inspection.federalregister.gov/2018-24238.pdf, and a fact sheet at https://www.cms.gov/newsroom/fact-sheets/cy19-esrddme-nprm-cms-1691-f-and-dmepos-competitive-bidding-program-temporary-gap-period.
The September 30, 2018 deadline for entering or editing NHSN data for QIP credit has been extended to October 1, 2018.