• 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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  • CMS Seeks Comment on Proposed MDS / PAC Data Elements (4/17)

    By CMS - April 24, 2017
    The Centers for Medicare & Medicaid Services (CMS) has contracted with RAND to develop standardized assessment-based data items to meet the requirements as set forth under the IMPACT Act of 2014, Section 2(a). The contract name is “Development and Maintenance of Post-Acute Care Cross-Setting Standardized Assessment Data.”
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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 Deadline Reminder: Calendar 2016 Submissions Due May 15

    By CMS - April 17, 2017
    The submission deadline for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) is approaching. Minimum Data Set (MDS) assessment data for October-December (Q4) of calendar year (CY) 2016 are due with this submission deadline. All data must be submitted no later than 11:59 p.m. Pacific Standard Time on May 15, 2017.
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  • SNF QRP Quick Reference Guide (4/17)

    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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  • May 2 SNF QRP Review and Correct Reports Provider Training: Register Now

    By CMS - April 06, 2017

    The Centers for Medicare & Medicaid Services (CMS) is hosting a live webcast for Skilled Nursing Facilities (SNFs) on Tuesday, May 2, 2017, from 2:00 to 3:30 p.m. ET.

    The focus of this training will be 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, the 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.

    You must register to attend.

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  • Nominate Patients / Experts for SNF QRP TEP by May 12

    By CMS - April 06, 2017

    Development and Maintenance of Quality Measures for Skilled Nursing Facility Quality Reporting Program (SNF QRP). The TEP nomination period opens on April 7, 2017 and closes on May 12, 2017. Please submit all nomination materials by the closing date.
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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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  • IMPACT Act: CMS Fast-Tracks Transfer of Health Info QM

    By Caralyn Davis, Staff Writer - March 01, 2017

    Officials with the Centers for Medicare & Medicaid Services (CMS) could not address how—or if—the Trump administration’s push to roll back current healthcare legislation could impact postacute care quality reporting programs (PAC QRPs), including the Skilled Nursing Facility Quality Reporting Program (SNF QRP), during the Feb. 23 Looking Ahead: The IMPACT Act in 2017 Call. Nevertheless, CMS continues to work with its measure development and assessment development contractors to develop and implement new quality measures and resource-use measures, collectively known as QMs, starting Oct. 1, 2018, and beyond. (Access the slide presentation here. When available, the call transcript and audio recording will be posted here.)

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  • October 2016 SNF QRP FAQs: Read these Two on Section GG

    By Caralyn Davis, Staff Writer - March 01, 2017

    Since the October 2016 release of version 1.14 of the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, the Centers for Medicare & Medicaid Services has issued two question-and-answer (Q&A) documents and one frequently asked questions (FAQ) document to provide supplementary instructions related to MDS coding and other issues involving the Skilled Nursing Facility Quality Reporting Program (SNF QRP):

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  • Medicare Episode Payment Model Operations: CMS Transmittal (2/17)

    By CMS - February 24, 2017

    Rules for new Episode Payment Models (EPMs) that focus on acute myocardial infarction (AMI), coronary artery bypass graft (CABG), and surgical hip and femur fracture treatment (SHFFT), most frequently hip pinning. These models will begin in 2017 and run for 5 performance years (PY). Addresses the qualifying three-day hospital stay and other issues.

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  • The Ins and Outs of the Part A PPS Discharge Assessment

    By Caralyn Davis, Staff Writer - February 15, 2017

    Nurse assessment coordinators (NACs) have had several months to work with the Medicare Part A PPS Discharge Assessment—with varying levels of success. AANAC master teachers offer the following advice on fine-tuning the implementation of this assessment:

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  • Q&A: What day do I use for the ARD for a Medicare Part A PPS Discharge Assessment?

    By Scott Heichel RN, RAC-CT, DNS-CT - February 14, 2017
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