• SNF PPS Advance Notice of Proposed Rulemaking Building-by-Building impact Analysis (7/17)

    By CMS - July 21, 2017
    To aid stakeholders in commenting on the SNF PPS Advance Notice of Proposed Rulemaking, we have posted a building-by-building impact analysis, which provides the estimated Medicare Part A payment impact of the RCS-I model currently under consideration for each SNF. 
    Read more
  • Five Star Help Line Open July 24 - 28

    By QTSO - July 21, 2017

    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.

    Read more
  • SNF QRP Requests for Reconsideration for Calendar Q4 2016 Due Aug. 13

    By CMS - July 19, 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. 

     

    Read more
  • Medicare / Medicaid Reform of Requirements for LTC Facilities: CMS Final Rule UPDATED (7/17)

    By CMS - July 18, 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.

    Read more
  • Fiscal Year 2017 HHS OIG Work Plan UPDATED

    By CMS - July 18, 2017
    The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) Work Plan for fiscal year (FY) 2017 summarizes new and ongoing reviews and activities that OIG plans to pursue with respect to HHS programs and operations during the current fiscal year and beyond. Work planning is an ongoing and evolving process, and the Work Plan is updated throughout the year.
    Read more
  • Proposed CY 2018 Medicare Physician Fee Schedule (7/17)

    By CMS - July 18, 2017
    Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2018; Medicare Shared Savings Program Requirements; and Medicare Diabetes Prevention Program
    Read more
  • CMS SNF QRP Transmittal Explains Payment Reduction Reconsideration Process (7/17)

    By CMS - July 18, 2017

    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.

    Read more
  • SNF QRP Deadline: MDS 3.0 Submission, Submission Status, and Final Validation Reports Helpful Hints (7/17)

    By QTSO - July 18, 2017
    The submission deadline for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) is approaching. Minimum Data Set (MDS) assessment data for January-March (Q1) of calendar year (CY) 2017 are due with this submission deadline. All data must be submitted no later than 11:59 p.m. Pacific Standard Time on August 15, 2017. This document is an overview for MDS providers of the steps required to submit an MDS 3.0 file, verify its submission status, and obtain a Final Validation report. It is strongly recommended that providers access and review the MDS 3.0 Provider User’s Guide and the CASPER Reporting User’s Manual from the MDS 3.0 Welcome page, which is accessed from your state’s MDS Welcome page.
    Read more
  • Mega-Rule Appendix PP Survey Resources From CMS - Revised (7/17)

    By CMS - July 14, 2017
    CMS has released an Advance Copy of Appendix PP of the State Operations Manual with updated Interpretive Guidance for multiple F-tags, a list of revised F-tags by regulatory grouping, a crosswalk between old and new F-tags, and a survey-and-certification memo explaining upcoming changes, training opportunities, and enforcement issues.
    Read more
  • SNF QRP Review and Correct Reports: The Basics

    By Caralyn Davis, Staff Writer - July 11, 2017
    After a misfire, the first Skilled Nursing Facility Quality Reporting Program (SNF QRP) Review and Correct Reports for the data collection period of Jan. 1, 2017 – March 31, 2017, are now available to SNFs. (See the notice here.) This data collection period will remain open so that providers can continue to make relevant MDS submissions or corrections until the data correction deadline 4.5 months later on Aug. 15, 2017. As of that date, the MDS data for that quarter will be frozen for the purposes of meeting the SNF QRP data submission threshold for the MDS-based SNF QRP quality measures (QMs), as well as for the upcoming SNF QRP public reporting.
    Read more
  • Don’t Skip a Beat When Dealing With Skip Days

    By Emily Royalty-Bachelor, Staff Writer - July 11, 2017

    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.

    Read more
  • Do You Know the SCSA Rules for Hospice Patients?

    By Caralyn Davis, Staff Writer - July 11, 2017

    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).

     

    Read more
  • Mega-Rule Phase 2 Implementation: CMS Training Videos (7/17)

    By CMS - July 10, 2017
    LTC Survey Process Videos: This course consists of a series of videos created by CMS outlining essential topics related to changes in the LTC regulations scheduled to be implemented for Phase 2. CMS videos on guidance provide regions and states a resource that can be used for training and education with surveyors, providers, and other stakeholder groups.
    Read more
  • Register Now: July 25 Mega-Rule Revised Interpretive Guidance / New Survey Call

    By CMS - July 09, 2017

    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.

    Read more
  • SNF QRP Help Desk Q&As and Quarterly Updates (7/17)

    By CMS - July 09, 2017

    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.

    Read more
1 of 22 Next