Provider Partnership Email Archive

CMS-1390-N on Display at the Federal Register

CMS-1390-N (Medicare Program; Hospital Inpatient Prospective Payment Systems and Fiscal Year 2009 Rates: Final Fiscal Year 2009 Wage Indices and Payment Rates) went on display at the Federal Register on September 29, 2008. The Notice includes tables listing the final wage indices, hospital reclassifications, payment rates, impacts, and other related tables effective for fiscal year (FY) 2009. It will be published on October 3.  To view the Notice, go to the web page at:

http://www.cms.hhs.gov/AcuteInpatientPPS/IPPS/itemdetail.asp?filterType=none&filterByDID=0&sortByDID=4&sortOrder=descending&itemID=CMS1215562&intNumPerPage=10

Important Information about the Reporting Hospital Quality Data for Annual Payment Update Program

Because of the recent hurricanes' devastating impact, the Centers for Medicare & Medicaid Services (CMS) will grant a data submission waiver to Prospective Payment System (PPS) hospitals. Due to the hurricanes, some hospitals are unable to meet the submission of quality data requirements for the Reporting Hospital Quality Data for Annual Payment Update (RHQDAPU) for Fiscal Year 2010.

The CMS is exercising its authority to waive data submission requirements under Section 1886(b) (3) (A) (vii) (II)of the Social Security Act, in the following states:

* Louisiana
* Texas

Process:
The submission waiver for Hospital Quality Alliance Acute Myocardial Infarction (AMI), Heart Failure, Pneumonia, and Surgical Care Improvement Project (SCIP) clinical process measures is granted for the second calendar quarter 2008 for all hospitals in counties designated as directly affected by the storm(s) (see Appendix A for a list of counties as designated by FEMA).  The submission waiver for Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measure is granted for the third calendar quarter 2008 for all hospitals in counties designated as directly affected by the storm(s) (see Appendix A for a list of counties as designated by FEMA).  In addition, hospitals in other counties in these states are authorized to submit requests for a data submission waiver to their CMS Regional Division of Quality Improvement office based on individual circumstances.

Clinical Process Measure Data Submission Schedule
Discharges Due to Clinical Warehouse
2Q-08 Apr-Jun 08 Nov-15-08

HCAHPS Data Submission Schedule
Discharges Due to Clinical Warehouse
3Q-08 July-Sept.08 Jan-14-09

The rationale for waivers for the clinical process measures listed above for second quarter 2008 is that hospital medical records were destroyed due to the storm, and hospitals are unable to report data for this period.  The rationale for waivers for the HCAHPS survey measure for third quarter 2008 is that hospitals ability to contact and survey patients may have been impaired during and after the storm, and hospitals may be unable to report data for this period. 

Additionally, the validation waiver for Hospital Quality Alliance Acute Myocardial Infarction (AMI), Heart Failure, Pneumonia, and Surgical Care Improvement Project (SCIP) clinical process measures is granted for the first calendar quarter 2008 for all hospitals in counties designated as directly affected by the storm(s) (see Appendix A for a list of counties as designated by FEMA). In addition, hospitals in other counties in these states are authorized to submit requests for a data submission waiver to their CMS Regional Division of Quality Improvement office based on individual circumstances.

Under Section 1886(b) (3) (A) (vii) (II) of the Social Security Act that hospitals shall submit data in a form and manner, and at a time, specified by the Secretary, CMS has authority to modify the submission requirements for hospitals.

Hospitals that have questions about this process should contact their local Quality Improvement Organization (QIO).  A list of QIO contacts for each state/territory is available online at http://www.qualitynet.org/dcs/ContentServer?cid=1138900297541&pagename=QnetPublic%2FPage%2FQnetTier3&c=Page.

Appendix A:
List of Counties by State Designated Disaster Counties

Louisiana
All parishes

Texas
Angelina, Austin, Brazoria, Chambers, Cherokee, Fort Bend, Galveston, Grimes, Hardin, Harris, Houston, Jasper, Jefferson, Liberty, Madison, Matagorda, Montgomery, Nacogdoches, Newton, Orange, Polk, Sabine, San Augustine, San Jacinto, Trinity, Tyler, Walker, Waller, and Washington Counties.

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