3/17+ CROWNWeb March Newsletter

The March CROWNWeb Newsletter has been published, with articles on the 2744 Annual Facility Survey, 2744 Errors and Reports, Guidance for Submission of CMS-2728/CMS-2746, HARP Account Needed for EQRS Users, EQRS System Deadline Updates, and Clinical Closures, plus the usual collection of very useful links and notes.  Find the Newsletter at https://mycrownweb.org/2020/02/march-2020-newsletter/.  Noteworthy dates include:

* Your Network may require earlier Closure.

New ICD-10 Codes for COVID-19 Coronavirus

CDC has issued new documents on ICD10 coding for the current “COVID-19” (nee “2019-nCoV”) coronavirus that first warranted attention in December 2019 in Wuhan, China:

These documents are put into context on CDC’s ICD10-CM page at https://www.cdc.gov/nchs/icd/icd10cm.htm.

CMS has also created a new billing code specific to testing for the COVID-19 virus.  For details see https://www.cms.gov/outreach-and-educationoutreachffsprovpartprogprovider-partnership-email-archive/2020-02-20#_Toc32923423.

1/1 MedRec QIP Measure in EQRS/CW

CMS has released an updated version of EQRS/CROWNWeb that supports QIP CY2020 data reporting requirements.  It includes Medication Reconciliation (“MedRec”) fields on the CROWNWeb Manage Clinical screens.  The QIP MedRec Reporting Measure requirement, which assesses evaluation of patients’ medication, begins with PY2022, and data reporting for it begins January 2020 for all HD and PD patients.  Facilities don’t need to enter MedRec data into EQRS/CROWNWeb during 2019; however, the new release allows review of the MedRec fields in preparation for use in 2020.  A draft of Version 5.0 of the CMS ESRD Measures Manual for the 2020 Performance Period includes a chapter on the MedRec Measure (pp. 147-151); find it at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/Downloads/Measures-Manual-v50.pdf.

For assistance with EQRS/CROWNWeb or the ESRD QIP, contact the ESRD QIP Support Team using the ESRD QIP Q&A Tool at https://cmsqualitysupport.service-now.com/qnet_qa.  If you have questions or concerns on use of the ESRD QIP application, contact the QualityNet Help Desk at qnetsupport-esrd@hcqis.org or 866-288-8912, 5am-5pm PT, Monday-Friday.

CROWNWeb November Newsletter

CROWNWeb (“CW”) has released the November edition of the CROWNWeb Newsletter.  In it you’ll find articles on their new Community of Practice series detailing best practices collected from the 20,000 authorized CW users, on CW online training, on the CW Admit Patient and CW Initial 2728 Worksheets, on Clinical Closures, and they also announce the November 12, 2019 New User Training.  Find the Newsletter at http://mycrownweb.org/2019/10/november-2019-newsletter/.

NW18 8/9 POLST Survey

The Coalition for Compassionate Care of California is conducting a survey to better understand the level of interest and engagement in a state-wide electronic Registry of Physician Orders for Life-Sustaining Treatment (POLST).  POLST is a form that gives seriously-ill patients more control over their end-of-life care, including medical treatment, extraordinary measures (such as a ventilator or feeding tube) and CPR.  Printed on bright pink paper, and signed by both a patient and physician, nurse practitioner or physician assistant, POLST can prevent unwanted or ineffective treatments, reduce patient and family suffering, and ensure that a patient’s wishes are honored.  Since it’s designed to be readily available to all healthcare practitioners in any setting or circumstance, electronic availability would promote its purpose.  For more information and a sample of the California form, see https://capolst.org/.  Take the survey, if possible before August 9, 2019, at https://www.surveymonkey.com/r/3XC2PGX.

6/25 CMS Seeks Comment on Rural Hospital Payment Changes

CMS has proposed that they improve their payments to rural hospitals, in an effort to improve rural health in the US.  While this isn’t directly relevant to ESRD, it will certainly be relevant whenever a kidney patient needs services at a hospital in a rural area.  Find the Proposed Rule and Request for Comment at https://www.govinfo.gov/content/pkg/FR-2018-05-07/pdf/2018-08705.pdf, and a Notice of Corrections at https://www.govinfo.gov/content/pkg/FR-2018-06-20/pdf/2018-13152.pdf.  Comments are due by June 25, 2019.  For background information see https://www.cms.gov/blog/putting-our-rethinking-rural-health-strategy-action and https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY2019-IPPS-Proposed-Rule-Home-Page-Items/FY2019-IPPS-Proposed-Rule-Regulations.html?DLPage=1&DLEntries=10&DLSort=0&DLSortDir=ascending.

6/3 EMR Interoperability Comment Period Extension

CMS has announced that the comment period for their Proposed Rules on Interoperability of Electronic Medical Records has been extended to June 3, 2019.  The Proposed Rules are aimed at promoting the ability of different health information technologies to communicate with one another, and at enabling patients to electronically access their health information.  Find the Proposed Rules at https://www.hhs.gov/about/news/2019/02/11/hhs-proposes-new-rules-improve-interoperability-electronic-health-information.html.

The extension of the public comment period coincides with release, from the HHS Office of the National Coordinator for Health Information Technology, of:

For More Information see:

8/9+ CW Newsletter, EQRS Training, Town Hall

The August issue of the CROWNWeb Newsletter is now available at http://mycrownweb.org/wp-content/uploads/2018/08/August_2018_Newsletter_Version_3.4.pdf.  This issue features:

  • Introduction to EQRS
  • August 6-September 5, 2018 QIP Preview Period (including links to handy tools)
  • August 9-10, 2018 EQRS 2.0 training
  • Facility Security Officials
  • May-August 2018 Clinical Closure deadlines
  • August 23, 2018 CROWNWeb Town Hall
  • The usual list of links to important CROWNWeb tools

Fraud Prevention Resources

CMS has published information about helping patients avoid fraud and scams, which may be particularly important with the release of the New Medicare Cards.

Medicare will never call beneficiaries uninvited and ask for personal or private information to get their new Medicare Number and card.  Scam artists may try to get personal information (like their current Medicare Number) by contacting them about their new card.  If your Medicare patient is asked for their information, for money, or someone threatens to cancel their health benefits if they don’t share their personal information, have them call 1-800-MEDICARE (1-800-633-4227).

The new Medicare Number is also called the Medicare Beneficiary Identifier (MBI) and is replacing the current Social Security-based Health Insurance Claim Number (HICN) on Medicare health insurance cards.  Medicare will continue to accept the HICN through the transition period; see https://www.cms.gov/Medicare/New-Medicare-Card/index.html#target.  Identity theft resources for people with Medicare can be found at https://www.medicare.gov/forms-help-and-resources/identity-theft/identity-theft.html.