Form
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Notes
on Updates
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Hospital
Inpatient Quality Reporting Notice of Participation
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Hospital
Quality Reporting Data Accuracy and Completeness Acknowledgement
(DACA)
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In
the requirements section, removed the individual measures to make
it more general, e.g. removed “Sepsis” from the
chart-abstracted measure. This will make it easier if new
measures are added. Both tracked and clean versions are in the
zip file.
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Care
Compare Request Form for Withholding/Footnoting Data for Public
Reporting
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Added
new measures to Table 1 and corrected two Measure ID names.
Corrected
the MEDCON Measure ID in Table 2.
Both
tracked and clean versions are in the zip file. Reviewed by
Lantana.
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Centers
for Medicare & Medicaid Services (CMS) Inpatient Prospective
Payment System (IPPS) Quality Reporting Programs Measure
Exception Form for PC and HAI Data Submission
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CMS
Quality Reporting Program APU Reconsideration Request Form
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Made
minor verbiage edit in the validation section to encourage
sending through Managed File Transfer as requested by the
Validation Support Contractor.
Both
tracked and clean versions are in the zip file.
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CMS
Hospital IQR Program Validation Review for Reconsideration
Request Form
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Centers
for Medicare & Medicaid Services (CMS) Quality Program
Extraordinary Circumstances Exceptions (ECE) Request Form
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Clarifyed
the deadlines for reporting and performance ECEs.
Added
the new COVID-19 HCP Vaccination measure where applicable.
Added
lines to the Non-Measure requirements, where applicable, for the
submitter to write in the appropriate requirement.
For
the SNF VBP program, added the Non-Measure and Other requirements
for selection.
Both
tracked and clean version are in the zip file.
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Hospital
Value-Based Purchasing (VBP) Program Review and Corrections
Request Form
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Hospital
Value-Based Purchasing (VBP) Program Appeal Request Form
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Hospital
Value-Based Purchasing (VBP) Program Independent CMS Review
Request Form
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Maternal
Morbidity Structural Measure
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PC-01
Measure
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Population
and Sampling
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Validation
Templates
CAUTI
CDI
CLABSI
MRSA
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CMS
Quality Reporting Validation Educational Review Form
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