• 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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  • Final Notice: Meet June 1 SNF QRP Data Submission Deadline or Lose Part A $

    By Caralyn Davis, Staff Writer - May 24, 2017
    Skilled nursing facilities that participate in the skilled nursing facility prospective payment system (SNF PPS) have until 11:59 p.m. Pacific standard time on June 1, 2017, to correct and/or submit their MDS quality data for Oct. 1 – Dec. 31, 2016, to fulfill the requirements for the Skilled Nursing Facility Quality Reporting Program (SNF QRP) fiscal year (FY) 2018 payment determination. Some providers have been confused by the upcoming release of the SNF QRP Review and Correct Reports, thinking those reports would allow them to identify corrections they need to make to meet the 80 percent threshold. However, the Review and Correct reports relate specifically to the calculation of the SNF QRP quality measures (QMs), not to meeting the required data threshold for payment.
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  • Baseline Care Planning Tool

    By AADNS - May 23, 2017
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  • Consolidated Billing: Tips for Understanding Major Category I

    By Caralyn Davis, Staff Writer - May 23, 2017

    Consolidated billing requires skilled nursing facilities (SNFs) to:

    1.      Submit consolidated Medicare Part A bills for almost all services received by Part A residents, and

    2.      Bill Medicare Part B for physical therapy, occupational therapy, and speech-language pathology services received by residents who are in a noncovered stay.

     

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  • Guided by the MOON? Not a Good Idea

    By Caralyn Davis, Staff Writer - May 23, 2017

    Since March 8, all hospitals and critical-access hospitals are required to issue the Medicare Outpatient Observation Notice (MOON) to fee-for-service Medicare and Medicare Advantage beneficiaries who receive observation services as outpatients for more than 24 hours. The MOON informs these patients that they are outpatients receiving observation services, not inpatients of the hospital or CAH, and it must be provided no later than 36 hours after outpatient observation services begin, notes Judy Wilhide Brandt, RN, BA, QCP, CPC, RAC-MT, DNS-CT, principal of Wilhide Consulting in Virginia Beach, VA.

     

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  • MDS/Billing Hot Spots Part 1: Six Areas Where You Need To Get In Sync

    By Caralyn Davis, Staff Writer - May 23, 2017
    Communication between the nurse assessment coordinator (NAC) and the billing office needs to cover a wide range of issues. Here are six key areas that NACs and billers should collaborate on to ensure billing accuracy:
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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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  • Implementation Issues, Long-Term Care Regulatory Changes: CMS S&C Memo (5/17)

    By CMS - May 22, 2017
    Implementation Issues, Long-Term Care Regulatory Changes: Substandard Quality of Care (SQC) and Clarification of Notice before Transfer or Discharge Requirements
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  • QIES Security Notice: Disabling and Deleting Accounts (5/17)

    By QTSO - May 22, 2017
    To better secure our applications, QIES security will require each user to successfully login every 60 days, effective June 26, 2017. If this does not occur, the account will be disabled and can only be re-enabled by contacting the QTSO Help Desk at (800) 339-9313.
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  • SNF QRP Submission Deadline Extended to June 1: Four Issues to Check

    By Caralyn Davis, Staff Writer - May 13, 2017
    The reporting deadline for the Skilled Nursing Facility Quality Reporting Program (SNF QRP) for the fiscal year (FY) 2018 payment determination has been extended to 11:59 p.m. Pacific standard time on June 1 due to “extenuating circumstances,” the Centers for Medicare & Medicaid Services (CMS) announced on Friday May 12. MDS assessment data for Oct. 1 – Dec. 31, 2016 are due with this submission deadline. These extenuating circumstances include some facilities receiving notifications from CMS contractor CORMAC that incorrectly stated they had not submitted any data under the SNF QRP, according to a letter obtained by Judy Wilhide Brandt, RN, BA, QCP, CPC, RAC-MT, DNS-CT, principal of Wilhide Consulting in Virginia Beach, VA.
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  • CMS Announcement: SNF QRP Data Submission Deadline Now June 1

    By CMS - May 12, 2017
    Due to extenuating circumstances, the reporting deadline for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Fiscal Year 2018 payment determination has been extended from May 15, 2017 to June 1, 2017.
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  • AANAC Work Study Reveals Biggest Challenges Facing NACs Today

    By Emily Royalty-Bachelor - May 09, 2017

    The American Association of Nurse Assessment Coordination has released the results of its most recent nurse assessment coordinator (NAC) work study, the findings of which highlight the challenges faced by NACs in their jobs—and illustrate how such challenges may be affecting morale, job satisfaction, and even NAC turnover.

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  • SNF QRP: Color-Code MDS Items You Should Avoid Dashing

    By Caralyn Davis, Staff Writer - May 09, 2017
    The Centers for Medicare & Medicaid Services (CMS) requires that skilled nursing facilities (SNFs) meet a completion threshold for reporting data to avoid financial penalties under the Skilled Nursing Facility Quality Reporting Program (SNF QRP). Specifically, SNFs will be subject to a 2 percent reduction to their market basket update in the SNF prospective payment system (PPS) for fiscal year (FY) 2018 beginning Oct. 1, 2017, and subsequent years if 80 percent of all MDS assessments submitted don’t contain 100 percent of all data items necessary to calculate the SNF QRP quality measures (QMs), according to the FY 2017 SNF PPS Final Rule.
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  • Standardized Assessment / Reporting: CMS Looks Beyond the SNF QRP QMs

    By Caralyn Davis, Staff Writer - May 09, 2017

    CMS is now actively working to implement two concurrent—and only sometimes intertwined—tracks of the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) across four postacute-care (PAC) settings, including skilled nursing facilities (SNFs), noted officials with the Centers for Medicare & Medicaid Services (CMS) during the May 4 Skilled Nursing Facility/Long-term Care Open Door Forum (ODF). These tracks are as follows:

     

    1.      Quality measurement, and

    2.      Standardized assessment data.

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