Hospital VBP Program Actual Percentage Payment Summary Report now available
November 7, 2012
The Centers for Medicare & Medicaid Services (CMS) has made the Actual Percentage Payment Summary Report for the Fiscal Year (FY) 2013 Hospital Value-Based Purchasing (VBP) Program available on My QualityNet.
To access the report, hospital staff must have an active QualityNet account and have been assigned the necessary QualityNet roles: 1) File Exchange & Search, and 2) Hospital Reporting Feedback-Inpatient. (Quality Improvement Organization staff will need the Hospital Report Contact role.)
The FY 2013 Actual Percentage Payment Summary Report informs hospitals participating in the FY 2013 Hospital VBP Program of their value-based incentive payment. The report provides hospitals with their Total Performance Score (TPS) and value-based incentive payment adjustment for the first year of the program.
Review and Corrections/Appeals
Hospitals may review and request recalculation of their performance scores on each condition, domain, and Total Performance Score (TPS) within 30 calendar days of the posting date of the Value-Based Percentage Payment Summary Report on QualityNet. Hospitals must receive an adverse determination from CMS of their review and corrections calculation request prior to requesting an appeal.
Note: Hospitals can only request an appeal after first requesting a review and correction of their performance scores. Hospitals that do not submit this formal request within 30 days of their report being posted on My QualityNet will waive eligibility to submit a CMS Hospital VBP appeals request(s) for the applicable fiscal year. Additional information on the Review and Corrections and Appeals processes are available on QualityNet.
For more information
Various Hospital VBP resources are available elsewhere on QualityNet, including an Actual Percentage Payment Summary Report Fact Sheet (PDF), and instructions on How to Read Your Report (PDF).
For questions related to the Actual Percentage Payment Summary Report or the Hospital Value-Based Purchasing (VBP) Program, use the CMS Hospital-Inpatient Questions and Answers tool.
For technical questions or issues related to accessing the Actual Percentage Payment Summary Report, contact the QualityNet Help Desk at firstname.lastname@example.org or call (866) 288-8912.