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.

QIP CY2018 Measures Manual 3.0

CMS has released Version 3.0 of the ESRD Measures Manual, which details specifications for the Clinical and Reporting Measures in the CY2018 Performance Period, PY2020, and the October 2018 QDFC and Star Ratings.  Find a link to the Manual at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/06_MeasuringQuality.html, along with links to earlier Versions of the Manual, and other supplemental information.  Address questions to the ESRD QIP team using the ESRD QIP Q&A Tool at https://cms-ocsq.custhelp.com/app/homeesrdqip/p/960.

9/19 QIP Preview Extended

CMS has discovered that the data file used to calculate PY2019 ESRD QIP Performance Scores omitted data on PD patients, which resulted in inaccurate Mineral Metabolism, Hypercalcemia, and Total Performance Scores for about one-third of eligible facilities.  A complete list of impacted facilities can be found at https://www.qualitynet.org/dcs/BlobServer?blobkey=id&blobnocache=true&blobwhere=1228890843976&blobheader=multipart%2Foctet-stream&blobheadername1=Content-Disposition&blobheadervalue1=attachment%3Bfilename%3DESRD_QIP_PY19_AffctdDlysFclts.pdf&blobcol=urldata&blobtable=MungoBlobs.

CMS has recalculated PY2019 Performance Score results.  Corrected PSRs and Patient List Reports will be released on or before August 24, 2018.  While only impacted facilities will see a change in their reports, all facilities will receive new reports.  In order to provide facilities with sufficient time to review their revised reports, CMS has extended the QIP Preview Period till September 19, 2018 at 11:59 PM PDT.  Try to submit your Clarification Questions by early September, so CMS has time to respond and you have time before the deadline to submit your Formal Inquiry, if necessary.

For further assistance regarding the QIP Preview, please contact the ESRD QIP Support Team using the ESRD QIP Q&A Tool at https://cms-ocsq.custhelp.com/app/homeesrdqip/p/960.  If you have questions or concerns regarding use of the ESRD QIP system, please contact the QualityNet Help Desk at qnetsupport-esrd@hcqis.org or 866-288-8912 between 5 am and 5 pm PDT Monday through Friday.

9/10 QIP PY2021-24 Correction

CMS has announced a correction to their bulletin about proposed PY2021-24 QIP performance measure changes, which we forwarded as https://nwrnbulletins.wordpress.com/2018/08/06/9-10-qip-py2021-24/Depression Screening is NOT proposed to be eliminated in PY2021, and Pain Assessment IS proposed to be eliminated in PY2021.  We’ve corrected our earlier bulletin.  Comments on the proposed changes are due by September 10, 2018.