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The Five Star (5 Star) Preview Reports are available as of July 18, 2017. Nursing Home Compare will update with June's Five Star data on July 26, 2017. The 5 Star Help line (800-839-9290) will be available July 24, 2017 through July 28, 2017.
CMS provided notifications to facilities that were determined to be non-compliant with Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) requirements for Quarter 4 of CY 2016, which will affect their FY 2018 annual payment update (APU). Notifications of non-compliance were placed into facilities’ Quality Improvement and Evaluation Systems (QIES) - Certification and Survey Provider Enhanced Reporting (CASPER) system on July 14, 2017 and also mailed directly to providers. Providers that receive a letter of non-compliance may submit a request for reconsideration to CMS via email no later than 11:59pm PST, August 13, 2017.
In October 2016, CMS finalized improvements in care, safety, and consumer protections for long-term care facility residents. Revisions mark first major rewrite of the conditions of participation (CoP) for long-term care facilities since 1991. In July 2017, the agency published some corrections.
Fiscal Year 2018 and After Payments to Skilled Nursing Facilities That Do Not Submit Required Quality Data. SUMMARY OF CHANGES: This is a new Change Request (CR) to pub. 100-22, Medicare Quality Reporting Incentive Programs, Chapter 80, to reflect changes to the payment reduction reconsideration process.
There can be quite a bit of confusion around Medicare skip days. What exactly constitutes a skip day? How does it affect your Medicare billable days? How does it affect scheduled and unscheduled assessments, assessment reference date (ARD) windows, and observation periods? What happens if you don’t track it correctly?
Not to worry. We’re here to help with this complete guide to skip days—what exactly they are, how to adjust for them, and how to plan your assessments when your resident has one. So without skipping a beat, let’s get started.
For the most part, completing a comprehensive Significant Change in Status Assessment (SCSA) hinges on two requirements: (1) The resident’s condition significantly improves or declines in two or more areas compared to their most recent baseline, requiring interdisciplinary review and/or revision of the care plan, and (2) The resident’s condition isn’t expected to return to baseline within two weeks. Note: The SCSA guidelines are explained fully in the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual (pages 2-22 – 2-28).
CMS experts discuss the revised Interpretive Guidance for Nursing Homes and the new Survey Process effective November 28, 2017. Learn about the major components of Phase 2 implementation, changes to the survey process, and training resources available to the public. A question and answer session follows the presentation.
You may email questions in advance of the call to NHSurveyDevelopment@cms.hhs.gov. Questions received in advance of the call may be addressed during the call or used for other materials following the call.
This 13-page document includes 15 Q&As on topics ranging from the data collection period for claims-based QMs in the SNF QRP to the Part A PPS Discharge assessment, as well as links to additional resources.
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