DATE: October 28, 2003
TO: COMPdata Core Measurement
Contacts
FROM: Pat Merryweather, Vice President
SUBJECT: JCAHO and CMS Re-Submissions
CMS UPDATES
As noted in prior communications, the Centers for Medicare and Medicaid
Services (CMS) is allowing providers to update their data for 3rd Quarter 2002
through 2nd Quarter 2003 discharges. Please note that CMS urges any
provider that is going public with their data during this time period to correct
any data that is problematic. CMS is not charging providers or vendors to
re-submit data and therefore, COMPdata will not charge for re-submissions of
data to CMS.
In reviewing our feedback reports from the CMS QNetExchange for our customers in
which we are submitting data, we are not having any data errors or problems.
The issues we are dealing with is on a few hospitals that have sent us
authorization forms, but CMS or the state QIO did not have the same information.
Any data that is being re-submitted for CMS must be at COMPdata by Tuesday,
November 11th to ensure we have adequate time to process and prepare the
submission.
JCAHO UPDATES
COMPdata is submitting data for 3rd and 4th Quarters 2002 for all providers
to ensure that JCAHO has the most current measurements that are reflected on
your feedback reports.
If you are sending in additional or updated data for 3rd and 4th Quarters 2002 -
there is no charge as COMPdata will absorb this charge. If you are sending
in additional data or updated data for 1st and 2nd Quarters 2003, there will be
a charge per quarter per measurement set based upon the fee that JCAHO is
charging COMPdata and all vendors for re-submission of information. JCAHO
is charging $39 per quarter per measurement set per hospital for the
re-submission of data. COMPdata will charge the same fee as JCAHO only
for 1st and 2nd Quarters 2003 re-submissions. Please note that
re-submissions only apply to Acute Myocardial Infarction, Heart Failure, and
Pneumonia - there will be no updates for the pregnancy and related measurements.
Any data that is being re-submitted for JCAHO must be at COMPdata by Monday
November 3rd as JCAHO information needs to be processed through detailed
algorithms and statistics formatted per JCAHO specifications. The process
for preparing statistics for JCAHO takes longer than preparing data to be
forwarded to CMS.
After November 15th, COMPdata will send reports to providers for all four
quarters so that all providers have the most current set of reports available to
them.
SUBMITTING FOR CMS BUT NOT JCAHO
If you decide to submit ONLY for CMS and not JCAHO, please send the COMPdata
performance measurement helpline an e-mail at perfmeas@ihastaff.org so we know
how to properly handle. If we do not receive an e-mail on how to handle,
COMPdata will assume that all data received before November 3rd are meant to
update both CMS and JCAHO measurements.
Additional information on the new CART software, processing dates, and training
will be sent in a separate e-mail.