The Ins and Outs of CROWNWeb · –The CMS-2728 and CMS-2746 Forms are being submitted through the SUI • EDI – Patient events such as admission and discharges can be completed

The Ins and Outs of CROWNWebWith CROWNWeb Outreach,

Communication, and Training (OCT)

May 31, 2018– 2pm to 3pm EDT

Type questions in the “Q&A” section, located in the top right corner of your screen. Send all Q&A questions to “All Panelists”

Connecting the Pieces

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Submitting Questions

Note: Some questions may require additional research. Unanswered questions may be submitted to

[email protected].

Janis Grady, RHIT, CPHQContract Officer’s Representative (COR)CROWNWeb Outreach, Communication, and Training (OCT)Centers for Medicare & Medicaid Services, Division of Quality Measurement (DQM)

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Today’s Host



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Today’s Presenters

Oniel Delva, BA, CTT+Communications Manager

Michael Seckman, CTT+Training Manager

Kirsten KeatingProject Coordinator

Latest News and Reminders

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O

CROWNWeb Clinical Closures

Clinical Month(s) Date of Closure for Clinical Submissions

March 2018 May 31, 2018 at 11:59 p.m. ET

April 2018 June 30, 2018 at 11:59 p.m. ET

May 2018 July 31, 2018 at 11:59 p.m. ET

• Clinical closures apply to all Collection Types.

• Clinical data submission applies to all submission methods.


CROWNWeb Unavailable

6:00 p.m. ET on Friday through 6:00 p.m. ET on Saturday

June

6/1/2018 through 6/2/2018

6/8/2018 through 6/9/2018

6/15/2018 through 6/16/2018

6/22/2018 through 6/23/2018


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June CROWNWeb System Maintenance

The Centers for Medicare & Medicaid Services (CMS) would like to thank all ESRD Networks, Dialysis Facilities,

and Transplant Centers for successful completion of the 2017 Annual Facility Survey, CMS-2744, in CROWNWeb.


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2017 Annual Facility Survey: CMS-2744

Electronic Data Interchange (EDI) vsSingle User Interface (SUI)

Task Electronic Data interchange Single User Interface

Facility Dashboard *

Search/Add Facility Personnel *

Admit New Patient * *

View/Edit Patient Attributes *

Submit CMS-2728 Forms * Partial Completion *

View CMS-2728 Forms *

View/Add Treatment * *

Submit Clinical * *

Discharge a Patient * *

View/Verify PART Data *

Submit CMS-2746 Forms *

Notification and Accretion Alerts *


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CROWNWeb Task Completion

Question: Can changes/edits to patient attributes be submitted via EDI?


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Questions & Answers for EDI vs SUI

Question: Can changes/edits to patient attributes be submitted via EDI?

Answer:Yes, edits to patient attributes can be completed in a users corporate system and then submitted to CROWNWeb via EDI. Users should verify the information has been properly updated in CROWNWeb via the SUI.


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Question: What is partial completion of CMS-2728 for EDI?


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Question: What is partial completion of CMS-2728 for EDI?

Answer:Patient information received via EDI to admit a patient in CROWNWeb also populates the patient demographics section on the CMS-2728 form.


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Question: Can EDI submitted data be corrected via the SUI?


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Question: Can EDI submitted data be corrected via the SUI?

Answer: Yes, a dialysis facility who uses the EDI process to submit CROWNWeb information can manually update patient information via the CROWNWeb SUI. It is recommended that the facility verify that the information is correct in their corporate system firstas to not create an error or overwrite.


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CROWNWeb Data Quality:How To Get It Done


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CROWNWeb Facility Dashboard

• SUI– The CROWNWeb Facility Dashboard is only available through

the Single User Interface– CROWNWeb Users will have to login to view the listed

information• 2728 Forms (New, Due, Past Due)• 2746 Forms (Due, Past Due)• Notifications and Accretions (unresolved Count)• System Discharges (Specific Year Count; Currently 2018)• PART (Unverified Count)• Clinical Depression Screenings (Required, Upcoming)• Pain Assessment (Required, Upcoming)• 2744 (Specific Year Status; Currently 2018)• Clinical Data

• EDI– The above data is only available for view if:

• A Corporate or CROWNWeb User logs in to the SUI


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CROWNWeb Facility Dashboard:SUI Only


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CMS-2728 Forms Completed in 10 Days by ESRD Network

April National Rate: 24%

1. Put Patients First – Establish/facilitate ESRD Medicare Coverage for beneficiaries

2. Register patients in the National ESRD Patient Registry –CROWNWeb

3. Include patients in ESRD quality measure outcomes

4. Facilitate Medicare facility reimbursement for ESRD treatments

5. Support Medicare reimbursement for Physician ESRD services

6. Expedite Medicare Advantage Health Plan payments for ESRD

7. Achieve compliance reporting for ESRD QIP

8. Release more timely and accurate ESRD data for Public Reporting/Research

9. Ten days is sufficient time to complete a registration form

10. Meet the CROWNWeb Data Quality Goals Connecting the Pieces

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Top 10 Reasons to Submit the CMS-2728 within 10 days


CMS-2728 Forms Submitted within 45 Days by ESRD Network


NW Submitted Due Difference

1 309 339 30

2 633 704 71

3 442 485 43

4 414 452 38

5 532 593 61

6 902 962 60

7 700 784 84

8 559 628 69

9 756 826 70


10 401 468 67

11 611 690 79

12 359 395 36

13 429 455 26

14 921 1,027 106

15 550 629 79

16 335 370 35

17 531 604 73

18 889 970 81


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Network Count: CMS-2728 Form (45 Days)

Submitted Due Difference

10,273 (90%) 11,381 1,108 (10%)


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Saved Forms Reminder


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CMS-2746 Forms Submitted within 14 Days by ESRD Network


59%


1 177 224 47

2 270 365 95

3 193 289 96

4 203 337 134

5 241 358 117

6 402 574 172

7 331 485 154

8 285 426 141

9 409 553 144


10 176 259 83

11 313 468 155

12 195 289 94

13 198 285 87

14 346 586 240

15 205 329 124

16 154 239 85

17 217 385 168

18 361 538 177


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Network Count: CMS-2746 Form (14 Days)

Submitted Due Difference

4,676 (67%) 6,989 2,313 (33%)

• SUI– The CMS-2728 and CMS-2746 Forms are

being submitted through the SUI• EDI

– Patient events such as admission and discharges can be completed in Corporate systems

• Most of the required information on the 2728 and 2746 forms are entered with the event information

– EDI facilities only have a small amount of verification and data entry to complete in the SUI

• Example: Patient signature date; Physician signature date, and Submission


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CMS Form Submissions:EDI and SUI

• Admission and Discharge Events can be completed by both the EDI and SUI processes

– EDI will input the information into CROWNWeb on the facilities’ behalf via the Corporate System

– SUI requires users to enter the information directly in CROWNWeb

• Guidelines for submission of data in CROWNWeb are within 5 days of an event (admission or discharge)


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Admissions and Discharges:EDI or SUI

Network Admits Within 5 Days

Over 5 Days

1 534 419 115

2 1,168 905 263

3 718 550 168

4 761 595 166

5 1,086 777 309

6 1,516 1,157 359

7 1,149 817 332

8 947 758 189

9 1,269 931 338

Network Admits 5 Days Over 5 Days

10 889 696 193

11 978 733 245

12 679 510 169

13 705 541 164

14 1,551 1,087 464

15 844 628 216

16 525 404 121

17 713 480 233

18 1,314 937 380


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Network Count: Admissions (5 Days)

TOTAL Admits Within 5 Days Over 5 Days

17,346 12,925 (74%) 4,421 (26%)


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CROWNWeb Admissions (5 Days)



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Admit/Discharge Reminder

• Notifications– A discrepancy in patient data between a CMS database

and CROWNWeb– There are two types of Notifications

• Patient identifiers: (such as Date of Birth) will be automatically updated in the patients CROWNWeb record when the alert is accepted

• Treatment data: (such as Transplant event) must be manually updated in the patients CROWNWeb record when the alert is accepted

• Accretion– An ESRD patient identified in another CMS database

and is not admitted into a facility in CROWNWeb• Accepting the Alert, CROWNWeb will guide the user

through the admission processConnecting the Pieces

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What is a Notification and Accretion Alert?

• Notification and Accretion Alerts can only by completed through the Single User Interface– You must login to CROWNWeb in order to complete this task


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Notification and Accretion Alerts:EDI or SUI


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Outstanding Notification and Accretion Alerts

National Count: 5,730

• Accept– You agree with the Notification or Accretion alert and the

patient will be updated or admitted in CROWNWeb• Reject

– You don’t agree with the Notification or Accretion alert and no changes are being made in CROWNWeb

• Investigate– Informs other users (at your facility or Network) that the

alert is being looked into• Escalate

– You need assistance as the patient is not part of your facility or require your local ESRD Networks help with determination

– Using Escalate will re-assign the Alert to your ESRD Network


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Notification and Accretion Alert Options


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Notification and Accretion Alert Reminder

CROWNWeb Data Submission Stopwatch


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CROWNWeb Data Submission Stopwatch


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Questions

Our next CROWNWeb Town Hall will be held:

Date: June 28, 2018Time: 2pm-3pm EDT


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Thanks for Attending!

Help Me Form: http://help.MyCROWNWeb.org

QualityNet Help Desk: 1-866-288-8912

Website: http://www.MyCROWNWeb.org

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Please follow the link and let us know what you think and what you would like to be covered in future Town Hall events, thank you!


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For Further Information…

http://help.mycrownweb.org/

http://www.mycrownweb.org/

Documents

The Ins and Outs of CROWNWeb · –The CMS-2728 and CMS-2746 Forms are being submitted through the SUI • EDI – Patient events such as admission and discharges can be completed