HICN and MBI News

CMS has announced several new resources to help facilities prepare for the conversion from Health Insurance Claim Numbers (HICN) to Medicare Beneficiary Identifiers (MBI), in order to remove Social Security Numbers from Medicare identifiers.  The conversion is called the Social Security Number Removal Initiative or SSNRI.  The resources include:

Beginning in April 2018, CMS will start sending new MBI Medicare cards to all beneficiaries.  It is recommended that facilities begin using the new Identifiers as soon as possible.  A transition period, where providers can use either HICN or MBI to exchange data with CMS, will begin no earlier than April 1, 2018, and run through December 31, 2019.

3/31 NHSN QIP Deadline

To meet the CMS ESRD QIP NHSN reporting requirements for Payment Year 2018, outpatient hemodialysis clinics must by March 31, 2017 submit and correct their fourth quarter 2016 Dialysis Event data for October 1 through December 31, 2016.  New or revised fourth quarter data entered into NHSN after March 31 will not be sent to CMS.   Find more information at https://www.cdc.gov/nhsn/dialysis/event/index.html and https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/index.html .

Ownership/Location Changes

CMS has reminded healthcare providers that in order to maintain their eligibility to bill Medicare, changes to ownership, location, or final adverse legal actions must be reported to CMS within 30 days, and other changes to one’s Provider Enrollment Information dossier must be reported online within 90 days.  To assist, they’ve collected in one place links to a relevant MLN-Matters article, the relevant section of federal law, an OIG report on compliance, and two how-to Provider Enrollment (PECOS) change tutorials.  Find these at https://www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Provider-Partnership-Email-Archive-Items/2017-02-23-eNews.html#_Toc475532422 .

2/10 QIP Deadline Extended Again

CMS has again extended the CROWNWeb deadline, to February 10, 2017, for submitting November 2016 clinical data, including the pain assessment, depression screening, and ICH CAHPS Survey attestation for the ESRD QIP, all originally due by January 31, 2017.  See http://mycrownweb.org/2017/02/november-2016-clinical-closure-extension-to-february-10-2017/ .

2/7 CW Deadline Extension

CMS has announced that the January 31, 2017 deadline for entering November 2016 clinical data has been extended to February 7, 2017.  The extension includes

  • November 2016 clinical data
  • Pain assessment
  • Depression screening
  • ICH CAHPS Survey attestation for the ESRD QIP

All originally due by January 31, 2017.

AKI Patients

The January 2017 issue of the Northwest Renal Network’s Network 16 News has hit the streets.  The headline article covers details about the new CMS reimbursement of outpatient dialysis facilities for treating Acute Kidney Injury or AKI.  The article also announces a February 22, 2017 NRAA webinar on AKI rules, facts, and expert interpretation of the gray areas.  Keep an eye on http://www.nraa.org/index.php/meetings/webinarstop/nraa-webinar-wednesday-series for details about the webinar and registration information.

The issue also contains an invitation for a patient or care partner to volunteer as a Subject Matter Expert on the Network’s Patient Advisory Council, and links to the following:

Find a copy of this Network 16 News issue at https://s3-us-west-2.amazonaws.com/nwrn.org/files/Nw16N/N16N.0117.pdf or any Network 16 News issue in the archives at https://nwrn.org/providers-and-professional-staff/nw16n.html .

New CMS PPS Webpages

CMS has announced the revision of their webpages on the Prospective Payment System (PPS), including consolidation of ESRD Reports, Educational Resources and AKI Coverage Changes, and the CY2017 Final Rule.  Find the new pages at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ESRDpayment/index.html .

They’ve also provided a link to the CY2018/PY2020 Final Rule that will be discussed at the January 17, 2017 conference call (see https://nwrnbulletins.wordpress.com/2016/12/16/117-qip-py2020-final-rule-call/ ).  Find the PY2020 Final Rule at https://www.federalregister.gov/documents/2016/11/04/2016-26152/medicare-program-end-stage-renal-disease-prospective-payment-system-coverage-and-payment-for-renal .