Unable to calculate star ratings for facilities

•  Star Rating contractor does not have access to data
•  Incomplete/Inaccurate data in EQRS due to “relaxed” validation rules

8/31/2021

10%

Unable to measure quality for payment adjustment

•  Data submitters are not able to view and confirm submitted information.
•  Incomplete/Inaccurate data in EQRS due to “relaxed” validation rules

10%

Coverage Termination

•  

  Inability to update Patient Records

•  

  Duplicate Patient Records

•  

  Inability to generate Patient Reports

•  

  Inability to edit or delete submitted Patient enrollment forms

•  

  CMS Annual Facility Survey can not be generated or contains erroneous data.

45%

Unable to accurately report to Congress for formulation of ESRD Network budget

•  Reports required for researching data discrepancies does not exist. Annual Facility Survey (used for budget formation) is being generated with faulty data.
•  Slow system response time is preventing completion of the Annual Facility Survey
•  Outdated Data. Update services intermittently stop but appear to be still running.

10%

Overpayment of claims

•  

  Inability to update Patient Records

•  

  Duplicate Patient Records

100%