Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare
CMS will be transitioning to a new data source for a provider’s demographic data for all five Post-Acute Care (PAC) provider types (Skilled Nursing Facilities/Nursing Facilities (SNF/NFs), Home Health Agencies (HHAs), Inpatient Rehabilitation Facilities (IRFs), Long-Term Care Hospitals (LTCHs) and Hospices). These demographic data include such items as the provider name, provider-mailing address, provider physical address, State, ZIP Code, etc. These provider demographic data are displayed on the Provider and Quality Measure reports generated from the Quality Improvement and Evaluation System (QIES) Certification and Survey Provider Enhanced Reports (CASPER) Reporting application for SNF/NF and Hospice providers and reports generated from Internet Quality Improvement and Evaluation System (iQIES) for HHA, IRF, and LTCH providers. Additionally, these same demographic data are displayed on the public reporting websites such as the Provider Data Catalog (PDC).
Historically provider demographic data have been maintained in the Automated Survey Processing Environment or ASPEN software; however, CMS will be transitioning to use the demographic information from Provider Enrollment, Chain and Ownership System (PECOS). While this transition is underway, a final date when all demographic data will be obtained from PECOS has not been identified. During this transition, all PAC providers will be responsible to ensure their latest demographic data are updated and available in both ASPEN (SNF/NFs, IRFs, and LTCHs) or iQIES (HHAs and Hospices) and PECOS systems.
The referencing document that outlines the steps each PAC provider should follow has been updated. This version of the document contains a change in process for free-standing IRFs, LTCH, and Hospice providers when requesting updates to their demographic information in ASPEN or iQIES. The updated CMS 855A form must be sent by the Medicare Administrative Contractors (MACs) to the appropriate State Agency rather than to the CMS Location.
Should you have questions regarding this updated process, please contact the iQIES help desk by email at iQIES@cms.hhs.gov or by phone at (800) 339-9313.
The above notice, posted April 12, 2023 can also be viewed here.