1. ASAP (Assessment Submission and Processing) Submission Processing Overview for IRF-PAI IRF Conference May 2, 2012

2. ASAP File Submission IRF-PAI Welcome page (new URL - https://mds.qiesnet.org/irf/home.html) https://mds.qiesnet.org/irf/home.html –Log in – same user ID and password. –Submit the file. –Receive initial response. File processing occurs –Facility Final Validation Report (FFVR) is generated and stored in CASPER. CASPER Reporting link on Welcome Page 2

3. IRF-PAI Welcome Page 3

4. Login & Upload File 4

5. Upload Process Validates –User ID of submitter is authorized to submit to the ASAP system for IRF-PAI. Confirms – File has been successfully uploaded to ASAP system. Assigns – Submission ID – Submission Date and Time 5

6. Upload Process 2 Does not –Unzip the file. –Read any included file. –Validate the facility identification. Pop-up box confirms upload –Press “OK” to display the confirmation page. 6

7. Submission Confirmation Page 7 This page can be printed by selecting the Print link in the top right corner.

8. Submission Status New information for IRF-PAI facilities File processing status –Waiting - the submission file is waiting to be processed –Processing - the submission file is processing –Completed - file submission processing is complete –Error - an error occurred during processing of the submission file – Call the QTSO Help Desk 8

9. Submission Status 9 Lists all files submitted by the user logged into the submission page.

10. Submission Status – What Now? Waiting –Come back later. Processing –Come back later. Completed –Check Total Record Count. Error –Call the QTSO Help Desk! 10

11. Total Record Count Not Zero (0) Facility Final Validation Report –Automatically generated. –Located in your facility CASPER folder. –Can be viewed by anyone with a submitter user ID for that facility. –Lists each record processed. Accepted or rejected Error messages (revised numbers and text) 11

12. Obtaining Your FFVR Welcome Page link – CASPER Reporting Login to CASPER. –Same submission user ID and password Select the Folders button at the top. Select the link on the left side named: st IRF fac_id VR FFVRs are listed in the right panel. Each FFVR is for one submission. 12

13. CASPER Reporting 13

14. CASPER Folders 14

15. Facility Final Validation Report Report Name – Same as now –mmddyyyyhhmmss.submission ID mmddyyyy - submission date hhmmss - submission time (24 hour time: hour, minutes, seconds) Submission ID - submission ID –Example – 09272012150616.5548 Format very similar to current FVR 15

16. Total Record Count = Zero (0) BAD FILE - Fatal File Error –File cannot be read –No records in zip file can be extracted No Facility Final Validation Report Contact your vendor –File not per data specifications 16

17. CASPER Reports IRF Provider Reports –Assessment Print –Facility Final Validation Report –Submitter Final Validation Report 17

18. CASPER Reporting 18

19. CASPER Reports Page 19

20. Assessment Print Any user with a submission login can request this report. Selection criteria - Assessment ID –Enter the Assessment ID. –Found on the FFVR. The information for that assessment is displayed. 20

21. IRF-PAI Assessment Print 21

22. My Inbox 22

23. Assessment Print Example – p1 23

24. Assessment Print Example – p6 24

25. Submitter Validation Report Rarely need to request this report. Information should be on FFVR. Request when FFVR for the submission lists fewer records than were in the file. –ASAP system could not read missing record (-902, -904). –ASAP system could not identify facility of record (-1001). 25

26. Submitter Validation Report Must be requested by the user who submitted the file. Selection criteria - Submission ID –Enter the Submission ID. The report for that ID is returned. 26

27. Submitter Validation Report Only a single fatal file error –Cannot unzip submission file –BAD submission file – vendor issue File can be read –Lists all records in submission file Facility identified – accepted or rejected Facility cannot be identified –Bad XML file format –Missing facility id or state code 27

28. Facility Final Validation Report Rarely need to request. Same information as generated FFVR. Request for FFVR from over 60 days ago. Request by any user with a submitter login. Selection criteria - Submission ID –Enter the Submission ID. Returns the report for that Submission ID. 28

29. Top Fatal IRF-PAI Messages Duplicate Assessment: The record submitted is a duplicate of a previously submitted record. –Pressing the submit button multiple times. Will not be able to do this in ASAP. –Not realizing file was already submitted. –Changing software. No match found: No matching record was found in the database for the submitted correction. –Patient identifiers do not match original. –Assessment discharge date does not match original. –Original record not accepted. 29

30. Top Warning IRF-PAI Message Patient Information Updated: The data in the above field is not the same as the data previously submitted for this patient. Verify that the "new" information is correct. –Patient has been in another provider (67% ). SNF (NH or SB), HHA, IRF, Now LTCH –Your data does not match other setting’s data (33%). –Check your patient identifiers for accuracy. The error message lists the identifier and the old and new values of the identifier. If the identifier is current_facility_id, then ignore. Otherwise research to ensure new value is correct. 30

31. Item 50 – Skip Pattern - Fatal Items 50A – 50D PU present on admission –-5001 Inconsistent 50A/50B-D value: If Pressure Ulcers Present on Admission (50A) is equal to 1 (Yes), then Healed Pressure Ulcers (50B, 50C, 50D) must not equal skipped [^] –-5002 Inconsistent 50A/50B-D value: If Pressure Ulcers Present on Admission (50A) is equal to 0 (No), then Healed Pressure Ulcers (50B, 50C, 50D) must all be equal to skipped [^] 31

32. QA Items 48A – 50D – Warning Items 48A – 50D Pressure Ulcers –Dash is used for “not answering”. –Blanks are not allowed (record is rejected). –-5004 Entering a dash as a response to the items in the Quality Indicators section may result in payment reductions for your facility of two percentage points starting October 1, 2013. –Message will only appear once on the report. –Message will list all quality items with a dash. 32

33. Resources Final Validation Report Welcome Page –IRF-PAI Submissions User’s Guide –CASPER Reporting User’s Guide Vendor –Understand/comply with data specifications. –Notify users of edit errors. –Attend vendor calls. –Read vendor Q & A’s on QTSO. 33

34. Websites IRF Quality Reporting Program information is available by accessing the CMS website located at: http://cms.gov/Medicare/Quality-Initiatives-Patient- Assessment-Instruments/IRF-Quality- Reporting/index.html http://cms.gov/Medicare/Quality-Initiatives-Patient- Assessment-Instruments/IRF-Quality- Reporting/index.html Signup for listserv announcements and CMS Open Door Forums is available by accessing the CMS website located at: http://www.cms.gov/Outreach-and- Education/Outreach/OpenDoorForums/ODF_SpecialO DF.htmlhttp://www.cms.gov/Outreach-and- Education/Outreach/OpenDoorForums/ODF_SpecialO DF.html 34

35. Websites 2 IRF-PAI data set is available by accessing the CMS website located at: http://cms.gov/Medicare/Medicare- Fee-for-Service- Payment/InpatientRehabFacPPS/IRFPAI.htmlhttp://cms.gov/Medicare/Medicare- Fee-for-Service- Payment/InpatientRehabFacPPS/IRFPAI.html IRF Technical Information is available by accessing the CMS website located at: http://cms.gov/Medicare/Medicare-Fee-for-Service- Payment/InpatientRehabFacPPS/TechInfo.html http://cms.gov/Medicare/Medicare-Fee-for-Service- Payment/InpatientRehabFacPPS/TechInfo.html IRF Software Information is available by accessing the CMS website located at: http://cms.gov/Medicare/Medicare-Fee-for-Service- Payment/InpatientRehabFacPPS/Software.html http://cms.gov/Medicare/Medicare-Fee-for-Service- Payment/InpatientRehabFacPPS/Software.html 35

36. Websites 3 Provider information –Quality Improvement and Evaluation System Technical Support Office (QTSO) website located at: https://www.qtso.com https://www.qtso.com –IRF link on the left side – IRF information –Training link on top bar – Technical training info Vendor information –QTSO website located at: https://www.qtso.comhttps://www.qtso.com –VENDORS link on the left side – Vendor information Vendor registration is the first link on this page –IRF link on top bar – IRF specific vendor info 36