The Centers for Medicare and Medicaid Services will be hosting two conference calls next month through its Medicare Learning Network Connect provider call program on the Quality Incentive Program.

ESRD Quality Incentive Program: Reviewing Payment Year 2014 Performance Data

The first, on August 7, will cover how dialysis clinics can review their performance scores in the QIP for calendar year 2012, which will impact clinic payments in 2014. The program is on Wednesday, Aug.7 from 3 pm-4 pm ET. CMS says the call is designed to help dialysis clinics and organizations, nephrologists, hospitals with dialysis units, billers/coders and quality improvement experts better understand the steps dialysis facilities need to take to review the data CMS will use to evaluate performance as part of the payment year 2014 program. CMS will make available to each facility a preliminary PY 2014 Performance Score Report (PSR) that "previews” how well it scored on the quality measures CMS will use for determining any payment reductions. CMS encourages every dialysis facility to carefully review its PSR before CMS makes the information available publicly at the end of 2013.

Facilities will have from July 15 through Aug. 15 to complete this review. Also during this period, facilities will have an opportunity to ask questions about how their scores were calculated, and also have the ability to submit one formal inquiry if they find or suspect an error in the score calculations.

A link to the slide presentation for the MLN call will be posted at the MLN Connects Provider Call website at www.cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events-Items/2013-08-07-ESRD-NPC.html?DLPage=1&DLSort=0&DLSortDir=descending prior to the call. To register for the PY 2014 provider call, go to the CMS Upcoming National Provider Calls registration website at http://www.eventsvc.com/blhtechnologies/register/dac624ae-8479-4c9b-b22c-573975f5c52d. Space is limited on the call, so CMS is encouraging early registration. Continuing education credit may be awarded for participation in certain MLN Connects Calls.

ESRD Quality Incentive Program Notice of Proposed Rulemaking: Payment Year 2016

The second MLN Connect provider call, on Aug. 14, focuses on the proposed rule released July 1 for the ESRD QIP in performance year 2014/payment year 2016. This proposed rule was published in the Federal Register on July 8.

After the presentation, participants will have an opportunity to ask questions.

The MLN Connects conference call is from 3:00 pm – 4:30 pm EST. The agenda will include ESRD QIP legislative framework, proposed measures, standards, scoring methodology, and the payment reduction scale for PY 2016. CMS will also review the methods for reviewing and commenting on the proposed rule.

A link to the slide presentation will be posted at  www.cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events-Items/2013-08-07-ESRD-NPC.html?DLPage=1&DLSort=0&DLSortDir=descending prior to the call.

To register for this MLN Connects National Provider Call, go to the CMS Upcoming National Provider Calls registration website at http://www.eventsvc.com/blhtechnologies/register/dac624ae-8479-4c9b-b22c-573975f5c52d