CMS Issues Notice That Value-Based Purchasing Summary Reports for FY13 Are Now Available

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On November 7, 2012, CMS posted notice announcing that actual percentage payment summary report for fiscal year (FY) 2013 Hospital Value-Based Purchasing (VBP) program was available on its QualityNet website.  The report provides information to FY 2013 VBP Program participating hospitals of their actual, as opposed to estimated, Total Performance Score (TPS) and incentive payment adjustment for the first year of the VBP program.  Hospitals must request a recalculation of their performance scores on each condition, domain, and TPS within 30 calendar days of the date on which their Value-Based Percentage Payment Summary Report is posted on QualityNet.  An adverse determination from CMS on such recalculation request is a prerequisite to appeal.  Therefore, failure to request recalculation within 30 days of posting on QualityNet will result in waiver of any future appeal of those issues. 

CMS’s notice is available here

Reporter, Adam Robison, Houston, +1 713 276 7306, arobison@kslaw.com.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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