CMS will present an 11am PST January 12, 2021 webinar on the CY2021 (PY2023 and 2024) ESRD QIP Final Rule, and has promised to send out registration and login information next week. For more information on the CY2021 QIP, see https://www.cms.gov/files/document/esrd-qip-cy-2021-proposed-rule-final.pdf and https://www.federalregister.gov/documents/2020/11/09/2020-24485/medicare-program-end-stage-renal-disease-prospective-payment-system-payment-for-renal-dialysis.
CMS is in the process of deciding which new measures to add to its Quality programs. For the ESRD QIP, measures under consideration include in-center patient Coronavirus vaccination coverage, health care personnel Coronavirus vaccination coverage, and Standardized Hospitalization Ratio. For details see https://www.cms.gov/files/document/measures-under-consideration-list-2020-report.pdf – suggested new ESRD measures are summarized on p.82. Measures under consideration are being sent to the National Quality Forum’s Measure Applications Partnership (https://www.qualityforum.org/map/). After the “MAP” has evaluated them, measures still under consideration will be published in the Federal Register for public comment sometime after February 1, 2021.
CMS has reported via their “[ESRD-qip-notify]” email list, without reference to a validating web source, that the deadline for dialysis facilities to submit NHSN BSI and NHSN Dialysis Event data for the ESRD QIP has been extended from December 31, 2020 to February 1, 2021.
PY 2021 Final PSR
The PY 2021 Final PSR documents your facility’s performance during 2019 and any payment reduction that CMS will impose for reimbursement on 2021 claims. The Final PSR reflects any applicable revisions to your facility’s performance scores from those displayed during the Preview Period.
Post Your PY 2021 PSC Before December 24, 2020
Each facility is required to download, print, and post both the English and Spanish versions of the PSC in a prominent patient area within 15 business days of their availability; facilities also must ensure that these documents remain posted throughout 2021.
Save Your Facility’s Documents
PY 2021 Final PSRs and PSCs will only be available on EQRS until December 31, 2020. We encourage each facility to save an electronic copy of their Final PSR and PSC for reference, reprinting, and reposting throughout the year should the need arise. Facilities who fail to save a copy by December 31, 2020 can request an additional copy by email from the QualityNet Help Desk but should expect a delay in receiving the requested documentation.
If You Have Questions
For further information on how to access and understand your reports, please refer to the PY 2021 supporting documents available on the ESRD QIP Resources page at https://qualitynet.cms.gov/esrd/esrdqip/resources#tab2. For assistance regarding the information contained in this message, please contact the ESRD QIP Support Team using the ESRD QIP Q&A Tool at https://cmsqualitysupport.servicenowservices.com/qnet_qa. If you have questions or concerns regarding use of EQRS, please contact the QualityNet Help Desk at firstname.lastname@example.org or 866-288-8912 (5am-5pm PST Monday-Friday).
CMS is granting exceptions under Medicare quality reporting and value-based purchasing programs to renal dialysis facilities located in areas affected by the Oregon Wildfires and designated as emergency disaster areas by FEMA, including Benton, Clackamas, Columbia, Coos, Deschutes, Douglas, Jackson, Jefferson, Josephine, Klamath, Lake, Lane, Lincoln, Linn, Marion, Multnomah, Tillamook, Wasco, Washington, and Yamhill Counties.
Impacted facilities in other areas may request exceptions for CMS review on a case-by-case basis.
Request exceptions using the Extraordinary Circumstances Exception (ECE) form at https://qualitynet.cms.gov/files/5d0d36e1764be766b0100cad?filename=HQR_ECE_Req_FormFeb2019.pdf. The ECE form must be signed by the dialysis facility CEO or designee and be submitted via email to the ESRD QIP Mailbox at email@example.com. This form and corresponding evidence must be submitted within 90 days of the Extraordinary Circumstances event for the ESRD QIP. For further assistance contact the CMS ESRD QIP at firstname.lastname@example.org.
CMS will publish the Final Rule for the CY2021 ESRD PPS, Payment for … AKI, and ESRD QIP in the Federal Register on November 9, 2020. A pre-publication copy can be found at https://www.federalregister.gov/public-inspection/2020-24485/medicare-program-end-stage-renal-disease-prospective-payment-system-payment-for-renal-dialysis.
On November 17, 2020 at 11am PST, CMS will hold a Stakeholder Call to discuss the QIP. Call details will be announced next week.
CMS has filed a Paperwork Reduction Act (PRA) Notice to solicit comments on a proposal to renew its approval to collect information on the application for Medicare coverage for new ESRD patients, and on the general application for Medicare coverage. No changes to the forms are contemplated, but the PRA requires periodic renewals. Comments are due by November 23, 2020. Find the Federal Register notice at https://www.federalregister.gov/documents/2020/09/24/2020-21095/agency-information-collection-activities-proposed-collection-comment-request.
CMS will present an October 8, 2020 webinar for anyone who advises Medicare enrollees on Getting Ready for the Medicare Open Enrollment Period. The three-hour webinar begins at 10am PDT, but you will need a CMS National Training Program account to get in, so start earlier. If you don’t already have an account, getting one is painless, but CMS has to confirm a new account before you can proceed, and they warn that confirmation can take ten minutes or more.
Anyone advising beneficiaries on Medicare Open Enrollment would also be likely to improve their advice by reviewing Beth Witten’s HDC: Insurance 101 for Social Workers, at https://nwrnbulletins.wordpress.com/2020/07/02/hdc-insurance-101-for-social-workers/ .
The Getting Ready webinar shares Medicare Program updates and resources to help those who assist Medicare beneficiaries to make informed decisions about their 2021 health care coverage. Create a new account if necessary at https://cmsnationaltrainingprogram.cms.gov/ , and find the webinar at https://cmsnationaltrainingprogram.cms.gov/?q=global-search&combine=Open+Enrollment . The 2020 Medicare Open Enrollment Period, during which people with Medicare can make changes to their health plans and prescription drug coverage to meet their health care needs for the following year, spans October 15 to December 7.
The CMS National Training Program includes a catalog of recorded courses and online self-paced trainings for staff members who work with Medicare, starting with Introductions that have no prerequisites. Many are repeated in Spanish. Find the course catalog at https://cmsnationaltrainingprogram.cms.gov/?q=ntp-courses .
The HHS Administration for Community Living ( https://acl.gov/ ) has prepared a toolkit, Preparing for a Remote Medicare Open Enrollment: Managing through COVID-19 Toolkit, containing successful practices, templates, and checklists to help you and your clients stay safe from COVID-19 during this year’s Open Enrollment. Find the Toolkit at https://www.shiptacenter.org/covid-19/toolkit .
CMS has released information about the long-awaited ESRD Treatment Choices (ETC) Model, which “aims to test whether greater use of home dialysis and kidney transplantation for Medicare beneficiaries with ESRD will reduce Medicare expenditures, while preserving or enhancing the quality of care furnished to beneficiaries with ESRD.” The newly published information includes:
- Press Release – https://www.cms.gov/newsroom/press-releases/cms-announces-transformative-new-model-care-medicare-beneficiaries-chronic-kidney-disease.
- Fact Sheet – https://www.cms.gov/newsroom/fact-sheets/end-stage-renal-disease-treatment-choices-etc-model-fact-sheet.
- ETC Model web page – https://innovation.cms.gov/innovation-models/esrd-treatment-choices-model/.
CROWNWeb has created a Data Submission Stopwatch as a graphic reminder of when information must be submitted to CMS. Download the Stopwatch from https://mycrownweb.org/wp-content/uploads/2018/03/Stopwatch-560×380.jpg. Each of the items on the Stopwatch must to be submitted within the time frame shown, as per the ESRD Systems Data Management Guidelines. Download the Guidelines from https://mycrownweb.org/assets/documents/ESRD_Systems_Data_Management_Guidelines.pdf.