1/15 CMS Call re CY2019 PPS Final Rule

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 QIP Deadline, News

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 nhsn@cdc.gov 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.

CY2019 QIP Final Rule

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.

QIP 8/14 Call Recordings

CMS has announced the availability of an audio recording and transcript of the August 14, 2018 conference call on changes to the ESRD QIP proposed in the CY 2019 ESRD PPS Proposed Rule.  For information on the August 14 call see https://nwrnbulletins.wordpress.com/2018/07/19/8-14-cms-call-re-cy2019-proposed-rule/.  For the audio recording and transcript see https://www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Provider-Partnership-Email-Archive-Items/2018-08-30-eNews.html?DLPage=1&DLEntries=10&DLSort=0&DLSortDir=descending#_Toc523298211.