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The text of the Senate healthcare bill under consideration in June/July 2017.
The next upcoming data reporting deadline for the Skilled Nursing Facility Quality Reporting Program (SNF QRP) is Aug. 15, 2017, for the data collection period of Jan. 1, 2017 – March 31, 2017. The SNF QRP quarterly data submission/correction deadlines are critical in two key ways, revealed the May 2 Review and Correct Reports Provider Training webinar held by the Centers for Medicare & Medicaid Services (CMS). (Access the recorded webcast here, the webcast slides here, and the participant Q&A document here.) The quarterly reporting deadlines occur 4.5 months after the end of each quarter, freezing the data for the following purposes:
Medical record documentation has always been a critical component of the post-acute care environment, for nursing in particular. In skilled resident care, documentation is required to support MDS coding, reimbursement, and the need for skilled services on an inpatient basis. There are other uses for medical record documentation, however, that shouldn’t be overlooked.
In the post-acute environment, the focus of documentation has been on providing rationales for (1) the resident’s hospitalization during the qualifying acute-care stay and then (2) for the referral to the post-acute care facility for continued services such as, most commonly, rehabilitation. In the past, documentation from nursing team members and ancillary departments has focused on supporting the need for rehabilitation services. As reported in sections G and GG of the MDS, this includes the quality and quantity of functional and self-care tasks and the resident’s capacity to achieve discharge goals. It has been rare, and is especially so with the current trend toward reduced lengths of stay, for the documentation to address chronic medical conditions—the comorbidities to the acute medical need that initially led to the hospitalization and post-acute referral.
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.
The Five Star (5 Star) Preview Reports will be available on June 20th. Nursing Home Compare will update with May's Five Star data on June 28, 2017. The 5 Star Help line (800-839-9290) will be available June 26, 2017 through June 30, 2017.
The Medicare Payment Advisory Commission (MedPAC) releases its June 2017 Report to the Congress: Medicare and the Health Care Delivery System. The Commission’s report examines a variety of Medicare payment system issues, including implementing a unified payment system for post-acute care, as well as hospital and skilled nursing facility use by Medicare beneficiaries who reside in nursing facilities.
Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities: Revisions to Case-mix Methodology; Extension of Comment Period AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
SUMMARY: This document extends the comment period for the advance notice of proposed rulemaking with comment entitled “Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities: Revisions to Case-mix Methodology” that appeared in the May 4, 2017 Federal Register (82 FR 20980) (the ANPRM). The comment period for the ANPRM, which would end on June 26, 2017, is extended until August 25, 2017.
Appendix Z, Emergency Preparedness Final Rule Interpretive Guidelines and Survey Procedures: Interpretive Guidelines. The Centers for Medicare & Medicaid Services (CMS) is releasing a new Appendix Z of the State Operations Manual (SOM), which contains the interpretive guidelines and survey procedures for the Emergency Preparedness Final Rule.
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