PY2020 Correction on Personnel Vaccination

As part of the SNF PPS proposed rule released last week (see https://www.gpo.gov/fdsys/pkg/FR-2017-05-04/pdf/2017-08521.pdf ), CMS proposed to correct the performance period for the NHSN Healthcare Personnel Influenza Vaccination Reporting Measure for PY2020 to October 1, 2017 through March 31, 2018.  You can comment on this or other elements of the SNF PPS proposed rule at https://www.regulations.gov/document?D=CMS-2017-0060-0002 until June 26, 2017.  Contact esrdqip@cms.hhs.gov if you have any other questions or concerns.  This performance period was incorrectly specified in the CY2017 ESRD PPS final rule as October 2016 through March 2017, which was a repeat of the PY2019 period.

PY2020 1/17 Call Materials

On January 17, 2017, CMS conducted a National Provider Call (NPC) discussing the Payment Year 2020 (PY2020) Final Rule.  Some attendees posed questions during the questions-and-answers portion of the call
that required additional research to answer fully.  CMS asked those participants to send their questions to the ESRD QIP mailbox for further examination.  Other attendees expressed interest in receiving those answers as well.  In an effort to meet this need, CMS has provided a compilation of select questions and responses, at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/Downloads/ESRD-QIP-mailbox-QA-from-Final-Rule-NPC.pdf .

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/ .