Summary of Updates on HIQR Collection Forms

FY 2022 Inpatient Prospective Payment System Rule: Summary of Updates on Hospital Quality Reporting Information Collection Forms

	Form	Notes on Updates
	Hospital Inpatient Quality Reporting Notice of Participation	Updated the opening paragraph to reflect how to access the NOP application in NG.
	Hospital Quality Reporting Data Accuracy and Completeness Acknowledgement (DACA)	Updated the references to the QualityNet Secure Portal to Hospital Quality Reporting Secure Portal.
	Care Compare Request Form for Withholding/Footnoting Data for Public Reporting	Updated the refereces to Hospital Compare to Care Compare. Removed the ED-2b measure from Table 1 and added the Medication Continuation following Discharge from an inpatient Psychiatric Facility (IPF) measure to Table 2.
	Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Quality Reporting Programs Measure Exception Form for PC and HAI Data Submission	Updated the references to the QualityNet Secure Portal to Hospital Quality Reporting Secure Portal and Secure File Transfer to Managed File Transfer.
	CMS Quality Reporting Program APU Reconsideration Request Form	Updated the references to the QualityNet Secure Portal to Hospital Quality Reporting Secure Portal and Secure File Transfer to Managed File Transfer.
	CMS Hospital IQR Program Validation Review for Reconsideration Request Form	Updated the references to the QualityNet Secure Portal to Hospital Quality Reporting Secure Portal and Secure File Transfer to Managed File Transfer.
	Centers for Medicare & Medicaid Services (CMS) Quality Program Extraordinary Circumstances Exceptions (ECE) Request Form	Updated the references to the QualityNet Secure Portal to Hospital Quality Reporting Secure Portal. Combined the Programs and applicable program requirements into one table. Restructured the order of the form to put the contact information first. Changed the line asking what date the facility will restart submitting data to the date the ECE relief would end. Added verbiage in the “Enter specific reasons for requesting exception” to include how the circumstance negatively impacted performance or how it prevented the facility from meeting program requirements. Updated the submission instruction section.
	CMS Quality Reporting Validation Educational Review Form	No updates/changes to the current published form. Form still in use.
	Hospital Value-Based Purchasing (VBP) Program Review and Corrections Request Form	Updated the references to the QualityNet Secure Portal to Hospital Quality Reporting Secure Portal and Secure File Transfer to Managed File Transfer.
	Hospital Value-Based Purchasing (VBP) Program Appeal Request Form	Updated the references to the QualityNet Secure Portal to Hospital Quality Reporting Secure Portal and Secure File Transfer to Managed File Transfer.
	Hospital Value-Based Purchasing (VBP) Program Independent CMS Review Request Form	Updated the references to the QualityNet Secure Portal to Hospital Quality Reporting Secure Portal and Secure File Transfer to Managed File Transfer.

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