Asking CMS to Review and Correct Your Agency's Preview Data before Care Compare Publication

Asking CMS to Review and Correct Your Agency's Preview Data before Care Compare Publication

Here is the how-to guide by CMS on asking CMS to review and correct your data once you identify any problems upon reviewing your provider preview reports.

CMS' guidance on how to access the provider preview reports, or CASPERs, is downloadable free from CMS' HQRP web page.

Let me know if I can help you further.

Be well!

Beth

Procedures for Requesting CMS’ Review of data during the Preview Period:
CMS encourages providers to review the data provided in their hospices’ Provider Preview Reports. 
If a provider disagrees with the quality measure results (denominator or another quality metric) contained within their report, they have an opportunity to request a review of the calculations by CMS.
To make a request, providers must adhere to the process outlined below:
  • Submit requests during the 30-day preview period.
    • The 30-day period begins on the day the Provider Preview Reports are available in Hospice CASPER folders through 11:59:59 p.m. PST on day 30th of the preview period.
    • NOTE: CMS will not accept any requests for review of measure results that are submitted after the posted deadline, which falls on the last day of the preview period.
  • Submit requests to CMS via email:
    • Subject line should include:
      • “[Provider Name] Hospice Public Reporting Request for Review of Measure Results.”
      • The Hospice CMS Certification Number (CCN)
Subject line example: St. Mary’s Hospice and Home Care, Hospice Public Reporting Request for Review of Measure Results, XXXXXX.
  • Send to the following email address: HospicePRquestions@cms.hhs.gov.
    • Please note: The only method for submitting a request to CMS for review of your Preview Report data is via email to HospicePRquestions@cms.hhs.gov.
  • MUST include ALL of the following information:
    • Hospice CMS Certification Number (CCN)
    • Hospice Agency Name and Mailing Address
    • CEO or CEO-designated representative contact information. Include:
      • name, email address, telephone number, and physical mailing address
    • Supporting Information:
    • Support the belief that the data contained within your hospice’s Preview Report is erroneous, including, but not limited to, all HIS or claims-based quality measures affected, and aspects of quality measures affected (e.g., denominator or quality metric)
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