• SNF QRP Review and Correct Reports Available (6/17)

    By QTSO - June 19, 2017

    The Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Review and Correct reports are now available on demand in the CMS Certification and Survey Provider Enhanced Reporting (CASPER) application. Providers can access these reports by selecting the CASPER Reporting link on the “Welcome to the CMS QIES Systems for Providers” webpage. NOTE: You must log into the CMS Network using your CMSNet user ID and password in order to access the “Welcome to the CMS QIES Systems for Providers” webpage.

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  • CASPER Reporting User’s Guide for MDS Providers UPDATED (6/17)

    By QTSO - June 06, 2017
    Provides information and instructions pertaining to CASPER Reporting, including accessing Final Validation Reports.
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  • SNF QRP Technical Specs Table for Reporting MDS-Based QMs for FY 2017 (6/17)

    By CMS - June 05, 2017
    his table presents information to understand the reporting requirements for the assessment based quality measures that are included in the Centers for Medicare & Medicaid Services (CMS) Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) for FY 2017. This table provides details for each MDS item and assessment type, allowable item values when coding for the 3 assessment based quality measures, Falls with Major Injury, Pressure Ulcers New or Worsened, and Functional Assessment and Care Plan.
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  • May 2 SNF QRP Review & Correct Reports Provider Training Q&As (5/17)

    By CMS - May 26, 2017

    May 2 Review and Correct Reports Provider Training Question and Answer (Q&A) Document for the Skilled Nursing Facility Quality Reporting Program Is Now Available: The question and answer (Q+A) document from the Review and Correct Reports Provider Training is now available in the “Downloads” section below. The Q+A document contains participant questions from the Live Webcast which took place on Tuesday, May 2, 2017.

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  • SNF QRP Review and Correct Reports Provider Training Slides and Video (5/17)

    By CMS - May 26, 2017

    TRAINING MATERIALS AVAILABLE for the May 2 Review and Correct Reports Provider Training – Webcast. The focus of this training is to assist providers from the following care settings in better understanding how Review and Correct Reports fit within the overall Quality Reporting Program: Skilled Nursing Facilities, Inpatient Rehabilitation Facilities, and Long-Term Care Hospitals. Additionally, this training will provide information about re-submitting data to correct errors prior to the quarterly submission deadlines to ensure the accuracy of the data which will ultimately be publicly displayed.

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  • SNF QRP Quality Measure (QM) User's Manual - NEW (5/17)

    By CMS - May 23, 2017

    This manual presents methods used to calculate quality measures that are included in the Centers for Medicare & Medicaid Services (CMS) Skilled Nursing Facility (SNF) Quality Reporting Program (QRP). This manual provides detailed information for each quality measure, including quality measure definitions, inclusion and exclusion criteria and measure calculation specifications.

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  • Bye-bye RUGs and OMRAs? Big changes in the works for SNF PPS

    By Carolyn Davis, Staff Writer - May 05, 2017
    The Centers for Medicare & Medicaid Services (CMS) has issued a precursor to a proposed rule that could lay the groundwork for retiring the existing case-mix classification model, the Resource Utilization Groups, Version 4 (RUG-IV), in the skilled nursing facility prospective payment system (SNF PPS). Switching to the Resident Classification System, Version I (RCS-I), would be a monumental change, ending the use of therapy minutes as the driver for Part A therapy payment, as well as accounting for variation in nursing and non-therapy ancillary (NTA) services.
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  • Oct. 1, 2018, could bring significant MDS item changes

    By Carolyn Davis, Staff Writer - May 05, 2017

    Fiscal year (FY) 2020 now looks to be a banner year for the expansion of the Skilled Nursing Facility Quality Reporting Program (SNF QRP), according to the FY 2018 SNF Prospective Payment System (PPS) Proposed Rule. If revised and new MDS-based SNF QRP quality measures (QMs) are adopted as proposed, nurse assessment coordinators (NACs) would have to manage the implementation of multiple new or revised standardized MDS items in FY 2019 (i.e., effective Oct. 1, 2018) to comply with data collection requirements for the FY 2020 payment determination.

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  • FY 2018 SNF PPS Proposed Rule: SNF QRP QM Data Specs and Standardized MDS items (5/17)

    By CMS - May 04, 2017

    Proposed MDS item set changes for v1.16 and proposed new Skilled Nursing Facility Quality Reporting Program (SNF QRP)  quality measures (QMs). If adopted data collection would begin Oct. 1, 2018.

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  • SNF Payment Models Research Technical Report (4/17)

    By CMS - April 27, 2017
    Based on the work conducted by Acumen during the second phase of the project, which included substantial feedback from stakeholders and four Technical Expert Panels, the contractor drafted a Technical Report, which discusses the research conducted by the contractor on developing an alternative to the existing methodology used to pay for services under the SNF PPS. The report identifies all of the relevant data and methodologies used in creating the contractor’s recommended alternative to the current case-mix classification system, RUG-IV, which they have named the Resident Classification System, Version I (RCS-I).
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  • FY 2018 SNF PPS Proposed Rule & Fact Sheet (4/17)

    By CMS - April 27, 2017
    Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2018, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, Survey Team Composition, and Proposal to Correct the Performance Period for the NHSN HCP Influenza Vaccination Immunization Reporting Measure in the ESRD QIP for PY 2020

     

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  • A CMS-State Collaboration: The New Dual-Eligibility Payment Model

    By Sophie Campbell - April 18, 2017
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  • SNF QRP Quick Reference Guide - UPDATED (5/17)

    By CMS - April 17, 2017
    A Quick Reference Guide for the Skilled Nursing Facility Quality Reporting Program  (SNF QRP) is now available. This guide include frequently asked questions, information on QRP help desks, and helpful links to additional resources for the QRP.
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  • New SNF QRP FAQs Focus on MDS Section GG (4/17)

    By CMS - April 06, 2017
    SNF QRP Help Desk Q+A Document for the Fourth Quarter of 2016 Now Available
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  • MedPAC 2017 Report to Congress: Medicare Payment Policy (3/17)

    By MedPAC - March 26, 2017
    The Medicare Payment Advisory Commission (MedPAC) releases its March 2017 Report to the Congress: Medicare Payment Policy. The report includes MedPAC’s analyses of payment adequacy in fee-for-service Medicare and provides a review of Medicare Advantage and the prescription drug benefit, Part D.
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