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.

New Medicare Card

CMS has renamed their Social Security Number Removal Initiative or SSNRI to New Medicare Card or NMC, and created three new web pages for it:

8/15+ QIP/DFR Previews

The preview periods for QIP Performance Score Reports (PSR), Dialysis Facility Reports (DFR), and Quarterly Dialysis Facility Compare (QDFC) are all now open.  These are distinct reports accessed through two different websites, with different preview periods. PSRs must be reviewed and commented upon by August 18, 2017; DFRs and QDFC must be reviewed and commented upon by August 15, 2017.  If you’re waiting till the last day to submit your comments, verify the time of the deadline with CMS; some CMS deadlines are now 5:00 pm ET (2:00 pm PT) rather than the usual 11:59 ET (8:59 PT).  Note that the following are not in order by date.

Preview QIP PY2018 Performance Score Reports

Preview Dialysis Facility Reports (DFR) and Quarterly October 2017 Dialysis Facility Compare (QDFC) report

8/28 QIP PY2019-21 Revisions

CMS has proposed a new rule that modifies the QIP for PY2019-21.  Comments on the rule will be accepted until August 28, 2017.  The proposed rule includes updates to reimbursement rates, the ESRD QIP Extraordinary Circumstances Exception Policy (ECE), PSC, NHSN dialysis event data validation sampling methodology, and quality measures.  The rule also requests comments on how to include individuals with AKI in the ESRD QIP, and on the feasibility and appropriateness of accounting for social risk factors in the program.  Find an advance copy of the proposed rule at https://s3.amazonaws.com/public-inspection.federalregister.gov/2017-13908.pdf .  The proposed rule is scheduled for the July 5, 2017 Federal Register.  A copy of the CMS press release on the proposed rule can be found at https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2017-Press-releases-items/2017-06-29.html .

A CMS Fact Sheet summarizes the various changes and proposals in the rule, and also introduces a planned CMS RFI that will welcome continued feedback on the Medicare program with the aim of increasing efficiency, transparency, flexibility, program simplicity, and innovation.  Find the Fact Sheet at https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-06-29.html .

https://s3.amazonaws.com/public-inspection.federalregister.gov/2017-13908.pdf

7/10+ PY2018 Webinar

CMS will host a July 10, 2017 webinar on ESRD QIP: Previewing Your Facility’s PY2018 Performance Data.  The Preview Period will begin July 17, when CMS will make Preview PSRs available to facilities.  These reports show the performance results that CMS will use to determine if a facility will incur a payment reduction for PY2018.  The PY2018 QIP process is described at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/Downloads/PY-2018-Program-Details.pdf .  During the month-long Preview Period, facilities can review their measure scores and ask CMS questions about how their scores were calculated.  Facilities will also be able to submit one formal inquiry if they find or suspect an error in how their scores were calculated.  The webinar will describe the steps that dialysis facilities need to take to participate in the Preview.  Register for the webinar at https://register.gotowebinar.com/register/3216642538964021761 .