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CMS releases ESRD QIP penalties for payment year 2014
The percentage of dialysis clinics that took a penalty based on lower performance scores for quality measures in 2012 is similar to the 2010 results, according to date released by the Centers for Medicare & Medicaid Services.
Scoring of dialysis facilities based on performance in 2012 impacts payments this year. About 9.5% of U.S. dialysis clinics will see a reduction. That is close to the 10% seen in 2013, and considerably lower than the 30% of clinics that got penalized in 2012. The ESRD QIP works in three-year cycles; the first year is performance, the second year is evaluation based on the QIP scoring system, and the third year is penalty assessment.
Dialysis clinics this year will see payment penalties, if any, assessed in 2016.
Each dialysis facility can access their clinic’s score at dialysisreports.org. For a downloadable Excel spreadsheet of scores and penalties for all U.S. facilities, go to www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/08_ReportandCert.html and download the Performance Score Summary Reports at the bottom of the page.
Scores and penalties for previous payment years 2012 and 2013 are also available.