• 1Q 2019 SNF QRP Help Desk Q+A Document (9/19)

    By CMS - September 02, 2019
    A new Question and Answer (Q+A) document  is now available in the "Downloads" section of the SNF Quality Reporting Program FAQs webpage. The Q+A document reflects frequently asked questions that were received by the SNF QRP Help Desk during the first quarter (Jan - Mar) of 2019.
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  • August 13 - 14 SNF QRP Training Slides Available

    By CMS - August 12, 2019
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  • CMS Section GG Training Videos: GG0110, GG0170C, GG0130B, Decision Tree for GG0130/GG0170 (6/19)

    By CMS - June 10, 2019

    These apply to all four QRP programs, including the SNF QRP:

    • GG0110 Prior Device Use with Information From Multiple Sources. This 4-minute video demonstrates how a caregiver can utilize information collected from multiple scenarios to accurately code GG0110. Prior Device Use. 
    • Decision Tree for Coding Section GG0130. Self-Care and GG0170. Mobility. This 12-minute video demonstrates how to apply the six-point coding scale to GG0130. Self-Care and GG0170. Mobility using GG0170D. Sit to stand as an example.
    • Coding GG0170C. Lying to sitting on side of bed This 4-minute video demonstrates how to distinguish between Code 02, Substantial/maximal assistance and Code 03, Partial/moderate assistance when coding GG0170C. Lying to sitting on side of bed.
    • Coding GG0130B. Oral HygieneThis 4-minute video demonstrates how to distinguish between Code 05, Set-up or clean-up assistance and Code 04, Supervision or touching assistance when coding GG0130B. Oral Hygiene. 
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  • SNF QRP Q&A Document Targets Section N and Other issues (4/19)

    By CMS - April 05, 2019

    A new Question and Answer (Q+A) document is now available. The Q+A document reflects frequently asked questions that were received by the SNF QRP Help Desk during the fourth quarter (Oct - Dec) of 2018.

    ·        SNF QRP Quarterly FAQ Update Q4 2018 [PDF, 268KB]

     

    From https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-Quality-Reporting-Program-FAQs-.html

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  • Q&A: We had to dash a few GG items on the PPS Discharge assessment, is this going to count against us for SNF QRP?

    By Carol Maher, RN-BC, CPC, RAC-MT - March 06, 2019
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  • No. 1 Sign of GG Dysfunction? Therapy Runs the Show Alone

    By Caralyn Davis - February 20, 2019

    Providers have been collecting data for MDS section GG (Functional Abilities and Goals) since October 2016, largely to meet the data submission threshold for the Skilled Nursing Facility Quality Reporting Program (SNF QRP). “In many SNFs, nursing has generally abdicated responsibility for section GG to the therapy department because there is no payment attached to section GG under the RUG-IV case-mix classification system,” says Joel VanEaton, BSN, RN, RAC-MT, vice president of compliance and regulatory affairs for Broad River Rehab in Asheville, NC.

     

    “That’s a big mistake when it comes to the Patient-Driven Payment Model (PDPM), which implements on Oct. 1,” says VanEaton. “To correctly define the resident’s functional profile in section GG, you have to figure out how to shift from that therapy-only paradigm to a paradigm of true collaboration, particularly among the MDS department, nursing, and rehab.”

     

    “The most significant problem with section GG is that coding often isn’t interdisciplinary,” agrees Tracy Montag, BSN, RN, RAC-MT, clinical consultant with the Senior Living Services Consulting Group at RKL LLP in York, PA. “There are still a lot of facilities that don’t look at usual performance over three days because coding is so therapy-driven. For example, for the 5-day PPS MDS, they input information directly into section GG from the documentation the therapist completes during the therapy evaluation. Sometimes facilities don’t even have information collected for some components of section GG because therapy is not seeing the resident for those components.”

     

    To improve section GG coding accuracy, nurse assessment coordinators (NACs) should consider the following steps:

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  • SNF QRP 3Q 2018 Help Desk Q+A Doc Includes 2 GG Coding Q&As (2/19)

    By CMS - February 19, 2019
    A new Question and Answer (Q+A) document is now available from the SNF Quality Reporting Program FAQs webpage. The Q+A document reflects frequently asked questions that were received by the SNF QRP Help Desk during the third quarter (July - September) of 2018. It includes information about the SNF QRP program, as well as two section GG coding questions (related to GG0170N and GG0170O).
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  • CMS Section GG Decision Tree Training Document Available (1/19)

    By CMS - January 29, 2019

    A decision tree training document to help with coding Section GG self-care and mobility data elements is now available. This document provides an overview of the 6 codes and coding instructions for admission/discharge.


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  • Are You Using the Right FY 2019 Federal RUG Rates?

    By Caralyn Davis - October 16, 2018

    On Oct. 3, CMS published a correction notice for the Fiscal Year (FY) 2019 Skilled Nursing Facility Prospective Payment System (SNF PPS) final rule to address a series of technical errors. “Chief among those” were corrections to the total case-mix-adjusted federal per-diem RUG-IV payment rates that were necessary due to errors in copying values, said officials with the Centers for Medicare & Medicaid Services (CMS) at the Oct. 11 Skilled Nursing Facility/Long-term Care Open Door Forum (ODF).

     

    Specifically, CMS has issued updated versions of both Table 6, “RUG-IV Case-Mix Adjusted Federal Rates and Associated Indexes—Urban,” and Table 7, “RUG-IV Case-Mix Adjusted Federal Rates and Associated Indexes—Rural,” to correct the Total Rate column. For example, those tables in the FY 2019 SNF PPS final rule show federal RUX payment as $832.89 for urban SNFs and $852.10 for rural SNFs. The correction notice changes the federal RUX rate to $832.61 urban and $851.84 rural.

     

    Other FY 2019-specific corrections include the following:

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  • July 31/August 1 SNF QRP Post-Training Materials & Videos (9/18)

    By CMS - September 14, 2018

     

    Post-training materials (includes answers to knowledge checks) from the July/August 2018 Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Provider Training held in Baltimore, MD, on July 31 and August 1, 2018, are now available. Some screenshots included in presentations for the Section GG and Section N sessions and the Case Study Coding Sheet were updated to reflect recent changes to the Minimum Data Set (MDS) 3.0 Version 1.16.0, which will become effective October 1, 2018.
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  • Scanning the Horizon: The Latest Updates to the RAI User’s Manual Effective October 1, 2018

    By Jane Belt, MS, RN, RAC-MT, QCP - August 28, 2018

    Just in time to help celebrate Labor Day, CMS has provided us with many pages to “labor” over in the few weeks that remain before October 1, 2018. Since August 22, we have had the opportunity to review the draft item sets and the technical specifications, but what our hearts most desired was to get the manual. And that we did—even a bit earlier than CMS had originally projected for its release. The good news: we have more time to absorb the changes that we have long been anticipating due to the SNF Quality Reporting Program. Let’s cover a high-level review of the chapter 3 updates and changes so that the horizon to October 1 will be clear.

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  • CMS Touts SNF Cost Savings Under the New PDPM Payment Model

    By Caralyn Davis, Staff Writer - May 04, 2018

    Skilled nursing facilities should save approximately $2 billion in aggregate reduced administrative costs over the next 10 years ($12,000 and 183 hours in savings per provider annually), said officials with the Centers for Medicare & Medicaid Services (CMS) in a review of key aspects of the Fiscal Year (FY) 2019 SNF PPS Proposed Rule during the May 1 Skilled Nursing Facility/Long-term Care Open Door Forum. This estimate is based on the proposed changes to the skilled nursing facility prospective payment system (SNF PPS) assessment schedule associated with the Patient-Driven Payment Model (PDPM) if it’s implemented as proposed on Oct. 1, 2019.

     

    “While the current [RUG-IV] system requires substantial paperwork to track the volume of service utilization over time, PDPM eliminates the need of these frequent patient assessments and allows clinicians to focus more time on treating the patient,” noted officials. Note: PDPM is based on the Resident Classification System, Version I, or RCS-I, that CMS presented last year.

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  • Q&A: How do I interpret the percentages on the CASPER Review and Correct Report for SNF QRP measures?

    By Carol Maher, RN-BC, CPC, RAC-MT - April 02, 2018
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  • CMS Dials Back Fear Factor Over Standardized MDS Data in October 2018

    By Caralyn Davis, Staff Writer - August 02, 2017
    Speaking up can make all the difference. In the Fiscal Year (FY) 2018 Skilled Nursing Facility Prospective Payment System (SNF PPS) Proposed Rule, the Centers for Medicare & Medicaid Services (CMS) had proposed that SNFs be required to report a significant amount of new standardized resident assessment data (typically on both the 5-day PPS MDS and the Part A PPS Discharge assessment) beginning Oct. 1, 2018, for the FY 2020 Skilled Nursing Facility Quality Reporting Program (SNF QRP). CMS proposed these standardized resident assessment data elements for five categories designated by the IMPACT Act:
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