11/17+ PPS PY2018, QualityNet News

The QualityNet Secure Portal may be temporarily unavailable between 5 p.m. PST Friday November 17, 2017 and 3:00 am PST on Monday November 20, to allow for required maintenance.

QualityNet has also added a new QIP PY2018 subsection to their website, which includes Frequently Asked Questions, PY2018 Guide to PSRs, PY2018 Facility User Manual, and PY2018 Facility User Quick Start Guide.  Find these resources at https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier2&cid=1228776130562 .

CMS PPS/AKI CY2018 Update

CMS has published an update to Publication 100-02, Medicare Benefit Policy Manual, Chapter 11, section 50, on “Implementation of Changes in the ESRD PPS and Payment for Dialysis Furnished for AKI in ESRD Facilities for CY2018,” dated November 3, 2017.  Find the document at https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R237BP.pdf .

PPS/QIP/AKI Final Rule

CMS has published a Final Rule on Updates to Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, dealing with CY2018 and PY2019-2021.  The Rule is effective January 1, 2018.  Find the complete Rule on the Federal Register at https://www.federalregister.gov/documents/2017/11/01/2017-23671/medicare-program-end-stage-renal-disease-prospective-payment-system-payment-for-renal-dialysis , and a CMS summary at https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-10-27.html .

NW18 Extended CW Deadlines for Orange County

The November CROWNWeb Newsletter is now available, at http://mycrownweb.org/news/newsletters/ .  The feature article gives Orange County facilities an extra two months to complete their CROWNWeb data entry, since Orange County is a FEMA-designated disaster area.  New deadlines are:

  • For Clinical Month August 2017 – December 31, 2017
  • For Clinical Month September 2017 – January 31, 2018
  • For Clinical Month October 2017 – February 28, 2018
  • For Clinical Month November 2017 – March 31, 2018
  • For Clinical Month December 2017 – April 30, 2018

CMS asks, however, that facilities do their best to file their Forms 2728 as early as possible in order to avoid delays in coverage for beneficiaries.

The Newsletter also includes an article for facilities affected by wildfires or other emergencies, whether or not they are located in a FEMA-designated disaster area (and any facility needing an additional exception), on how to file an Extraordinary Circumstance Exception (ECE) request, and how their PY2019 QIP Final Performance Score will be calculated as a result.

An article on using the Facility Dashboard rounds out this issue of the CROWNWeb Newsletter.  The issue also announces a CROWNWeb Town Hall on November 30, 2017.

8/28 PY2019 Comments Due

CMS has posted the audio recording and transcript of their July 26, 2017 Listening Session on the ESRD QIP Proposed Rule for PY2021; see https://www.cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events-Items/2017-07-26-ESRD-QIP.html .  The material discusses plans for PY2019, PY2020, and PY2021.  Comments on the Proposed Rule are due by August 28, 2017.