Post-Acute Care News
The Post-Acute Care News page is where you’ll find the latest alerts and information from the post-acute care field, including notices from CMS, the CDC, and other post-acute care stakeholders. Then find deeper analyses from AAPACN’s team of nurse experts in articles, webinars, and podcasts.
- CDC NHSN HCP & Resident Vaccination ModuleLong-term care facilities can track weekly vaccination data for residents and healthcare personnel (HCP) through NHSN. April 2024 Updates Person-Level COVID-19 Vaccination Forms – Instructions and Guidance Documents INSTRUCTIONS FOR REPORTING PERSON-LEVEL VACCINATION DATA Person-Level …
- FY 2026 SNF VBP Program Early Look Performance Score ReportsThe Early Look Performance Score Reports for the FY 2026 SNF VBP Program are now available for download via the Internet Quality Improvement and Evaluation System (iQIES). Beginning in the FY 2026 Program year, the SNF VBP …
- CMS Minimum Staffing Rule and Medicaid Rules ReleasedBiden-Harris Administration Takes Historic Action to Increase Access to Quality Care, and Support to Families and Care Workers Nursing home minimum staffing standards promote resident care and safety Medicaid and CHIP to have historic access …
- 5-Star Help Line Available Through April 26The Five Star Preview Reports will be available on or around April 17, 2024. Provider Preview Reports have moved to iQIES as of August 2023. Please follow the steps below to locate the Provider Preview …
- CDC: COVID-19 Vaccination of Nursing Home Residents, and Rates of SARS-CoV-2 Infection/HospitalizationCOVID-19 Vaccination Coverage, and Rates of SARS-CoV-2 Infection and COVID-19–Associated Hospitalization Among Residents in Nursing Homes — National Healthcare Safety Network, United States, October 2023–February 2024 Weekly / April 18, 2024 / 73(15);339–344 Summary What is …
- FY 2024 PDPM Grouper UpdateThe “PDPM Grouper JAR Package V2.2002.zip” is now available. This release was updated to support corrections to the Fiscal Year (FY) 2024 Patient Driven Payment Model (PDPM) International Classification of Diseases (ICD)-10 code mapping for …
- FY 2024 PDPM ICD-10-CM Mappings File UpdatedFrom https://www.cms.gov/medicare/payment/prospective-payment-systems/skilled-nursing-facility-snf/list-federal-regulations/cms-1779-f2 Note: Typically, this file is posted at https://www.cms.gov/medicare/payment/prospective-payment-systems/skilled-nursing-facility-snf/patient-driven-model
- FY2024 ICD-10 Codes Database for Item I0020B UpdatedThe Microsoft Access database containing the International Classification of Diseases (ICD)-10 codes allowed for item I0020B has been updated to reflect changes occurring soon with PDPM V2.2002. The new tables added should be treated as …
- Medicare Advantage Final Rule Includes Expedited Determination Process Changes for SNFsSee the section “Enhance Enrollees’ Rights to Appeal a Medicare Advantage Plan’s Decision to Terminate Coverage for Non-Hospital Provider Services” for details on expedited determination changes for Medicare Advantage residents. Contract Year 2025 Medicare Advantage …
- CMS Survey Process Notice: Testing Risk-Based Survey ApproachUpdate: April, 2024 CMS consistently strives to improve the effectiveness and efficiency of our nursing home oversight and compliance programs to protect residents’ health and safety. In 2017, CMS implemented a new nursing home survey …
- OIG Takes a Close Look at Facility-Initiated Discharges With Two ReportsReport 1: Concerns Remain About Safeguards To Protect Residents During Facility-Initiated Discharges From Nursing Homes Issued on 03/29/2024 | Posted on 04/03/2024 | Report number: OEI-01-18-00251 Report Materials Why OIG Did This Review Facility-initiated discharges that do not follow Federal regulations …
- LTCSP Survey Resources: Surveyor Tools UpdatedThis ZIP file contains resources for surveyors conducting initial surveys under the Long-term Care Survey Process (LTCSP). It is a one-stop shop containing a multitude of reference materials that are provided to the surveyors going …
- HIPAA Alert: NJ Nursing Home Hit With $100,000 CMP for Not Providing Timely Access to Patient RecordsEssex Residential Care, LLC, to pay $100,000 after failing to comply with HIPAA Right of Access The U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR), announced a $100,000 civil monetary …
- Proposed FY 2025 PDPM Case Mix and Wage Index Files
- FY 2025 SNF PPS Proposed RuleProspective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2025 Filed on: 03/28/2024 at 4:15 pm Scheduled Pub. Date: 04/03/2024 …
- July 2024 Quarterly Update to HCPCS Codes for SNF Consolidated Billing TransmittalTransmittal # R12560CP Issue Date 2024-03-28 Subject July 2024 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement Implementation Date 2024-07-01 CR # 13576 …
- SNF QRP: Achieving a Full APU Webinar SlidesPresenters: Heidi Magladry, R.N.Program Coordinator, SNF QRPCenters for Medicare & Medicaid Services Teresa Mota, B.S.N., R.N.Associate Scientist/Nurse ResearcherAbt Global March 26, 2024 2024_March_SNF_QRP_Achieving_A_Full_APU_Webinar_Update (PDF)
- CMS QSO Memo: Enhanced Barrier Precautions in Nursing Homes to Prevent Spread of MDROsEnhanced Barrier Precautions in Nursing Homes to Prevent Spread of Multidrug-resistant Organisms (MDROs) Memo #QSO-24-08-NH Posting Date 2024-03-20 Fiscal Year 2024 Memorandum Summary • CMS is issuing new guidance for State Survey Agencies and long term care …
- NHSN Healthcare Personnel (HCP) Flu Vaccination Module for SNF QRP ReportingThe HCP Flu Vaccination Module, which is part of the HCP component in NHSN, is used to input required NHSN data for the SNF QRP. This site provides access to the HCP Vaccination Module: Influenza …
- FY 2025 SNF VBP Program March 2024 Quarterly Reports AvailableThe March 2024 Quarterly Confidential Feedback Reports for the fiscal year (FY) 2025 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program are now available to download via the Internet Quality Improvement and Evaluation System (iQIES). …
- CMS Nursing Home Data Sets UpdatedCOVID-19 Vaccination Rates – State and National Averages State and National averages for facility resident and healthcare personnel COVID-19 vaccination rates. Data are presented as one row per state or territory plus a row for …
- MDS Data Specifications V3.02.0 (DRAFT) AvailableThe MDS Data Specifications V3.02.0 (DRAFT) are now available for download under the Downloads section at the bottom of this webpage. The Section GG goal items will be removed, and three new items will be added: O0350 …
- NIH COVID-19 Treatment Guidelines: Final VersionIn response to the rapidly evolving COVID-19 pandemic, the National Institutes of Health assembled a panel of experts to provide practical recommendations for health care providers. For close to 4 years, the COVID-19 Treatment Guidelines …
- CMS Transmittal: PDPM Corrections to Interrupted Stay EditsTransmittal # R12525OTN Issue Date 2024-03-01 Subject Patient Driven Payment Model (PDPM) Corrections to Interrupted Stay Edits Implementation Date 2024-04-01 CR #13360 Publication #100-20 Transmittal Year 2024
- OIG: Lessons Learned During the Pandemic Can Help Improve Care in Nursing HomesIssued on 02/26/2024 | Posted on 02/29/2024 | Report number: OEI-02-20-00492 Report Materials Full Report (PDF, 1.5 MB) Why OIG Did This Review Nursing home residents and staff have been especially impacted by the COVID‑19 pandemic. Now, it is critical to learn from …
- OIG Plans to Publish Nursing Home Compliance Program Guidance in 2024update existing compliance program guidance documents (CPGs) and deliver new CPGs. OIG intends to publish industry segment-specific CPGs (ICPGs) focused on Medicare Advantage and nursing facilities in 2024. After addressing these segments, OIG anticipates publishing updated ICPGs …
- FY 2026 (Calendar Year 2024) SNF QRP Program Data Collection & Final Submission Deadlines REVISEDUpdated February 2024 The FY 2024 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule (88 FR 53200) revised data collection and submission requirements for the SNF Quality Reporting Program (QRP) affecting the Fiscal …
- Tai Chi May Outperform Conventional Exercise in Improving Mobility/Balance in SeniorsPress release from the Marcus Institute on Aging: Findings based on 12 studies involving 2,901 participants While tai chi is understood to be beneficial for functional mobility and balance in older adults, such benefits are …
- NHSN HCP Flu Vaccination Module Announcement and Feb – April WebinarsAnnouncements This is a friendly reminder to log into NHSN and make sure your facility has an active Facility Administrator. Please note that only the Facility Administrator can enroll a facility in a one or …
- CDC HCP Influenza Vaccination Data for SNFs 2022 – 2023Skilled Nursing Facilities Pooled proportion of healthcare personnel reported as vaccinated in Skilled Nursing Facilities reporting to NHSN, by personnel group and state, 2022-2023 influenza season. From https://www.cdc.gov/nhsn/datastat/flu-datatables.html
- April 1 – Sept. 30, 2024, Release of ICD-10-CMThe FY2024 ICD-10-CM codes are to be used from April 1, 2024 through September 30, 2024. Note: This replaces the FY 2024 – October 1, 2023 release. These files listed below represent the ICD-10-CM FY2024 April …
- SNF QRP Listening Session Summary ReportSUMMARY REPORT PUBLISHED: SNF QRP Listening Session: Possible Expansion of MDS Data Submission to All SNF Patients Regardless of Payer CMS has published a summary report on the virtual SNF QRP Listening Session that was …
- AHRQ Report: Deprescribing To Reduce Medication Harms in Older AdultsMain Points Deprescribing has emerged as a clinical practice to reduce polypharmacy and use of potentially inappropriate medications (PIMs) and serve as a mechanism for quality improvement and increased patient safety. The purpose of this …
- Skilled Nursing Care & Skilled Therapy Services to Maintain Function or Prevent or Slow Decline: CMS ReminderMedicare covers skilled nursing care and skilled therapy services under skilled nursing facility, home health, and outpatient therapy benefits when a beneficiary needs skilled care to maintain function or to prevent or slow decline, as …
- HHS Final Rule to Enhance Integrated Care and Confidentiality for Patients with Substance Use ConditionsOn Feb. 8, 2024, the U.S. Department of Health and Human Services, through its Office for Civil Rights (OCR) and the Substance Abuse and Mental Health Services Administration (SAMHSA), finalized modifications to the Confidentiality of …
- iQIES Resources Site UpdatediQIES is the Internet Quality Improvement and Evaluation System, which is the system that the MDS submissions system is being transferred to. The QIES Technical Support Office maintains a website with iQIES reference materials, including …
- AAOS Updates Clinical Practice Guideline for the Management of Osteoarthritis of the HipUpdated guideline offers the latest in evidence-based research to reduce pain, expand function and improve quality of life ROSEMONT, Ill. , Jan. 23, 2024 /PRNewswire/ — The American Academy of Orthopaedic Surgeons (AAOS) issued an update to the Clinical Practice Guideline (CPG) …
- NHSN LTCF Prevention Process Measures (PPM) Module Resource Page UpdatedHand Hygiene, Gown and Glove Use Adherence Protocols Supporting Chapters Data Collection Forms & Instructions All Data Collection Forms are Print-only PPM Monthly Reporting Plan Annual Facility Survey LTCF Training FAQs Supporting Materials Guidance Documents …
- NHSN LTCF MDRO & CDI Module Resource Page UpdatedMultidrug-Resistant Organism & Clostridioides difficile (MDRO/CDI) Infection Event Reporting Module Using Laboratory-identified Event Methodology Protocols Supporting Chapters Note: This document includes CDC locations and labels for all NHSN facility types. For Long-term Care Facility locations and labels, …
- 2023 Medicare Fee-for-Service Supplemental Improper Payment Data for SNFs: Root CausesSkilled Nursing Facility CERT reports Skilled nursing facilities (SNF) is defined as all services with a provider type of SNF, including SNF inpatient, SNF outpatient, and SNF inpatient Part B. The projected improper payment amount …
- CDC NHSN LTCF UTI Healthcare-Associated Infection Module Resource Page UpdatedProtocols Supporting Chapters Data Collection Forms & Instructions All Data Collection Forms are Print-only UTI Events Denominator Forms Monthly Reporting Plan Annual Facility Survey LTCF Training Educational Roadmap FAQs Supporting Materials Guidance Documents Analysis Resources …
- CDC NHSN LTCF COVID-19/Respiratory Pathogens Vaccination Module Page UPDATEDLong-term care facilities can track weekly vaccination data for residents and healthcare personnel (HCP) through NHSN. January 2024 Updates Training Updates to Weekly COVID-19 Vaccination Data Reporting: Long-term Care Facilities – January 2024 Slideset [PDF – …
- SNF Cost Report Data Set for 2021The Skilled Nursing Facility (SNF) Cost Report dataset is a public use file that provides select measures from the skilled nursing facility annual cost report. This data includes provider information such as facility characteristics, utilization data, …
- COE-NF De-Escalation Staff Education ToolkitThe Center of Excellence for Behavioral Health in Nursing Facilities offers a De-Escalation Toolkit for staff education.
- OIG: CDC Has Improved the Nursing Homes Reporting Process for COVID-19 Data in NHSN, but Challenges Remain01-09-2024 | OEI-06-22-00030 | Complete Report KEY TAKEAWAY The Centers for Disease Control and Prevention (CDC) struggled to support nursing homes during mass enrollment into the National Healthcare Safety Network (NHSN) in 2020 and as COVID-19 …
- FY 2025 Draft MDS 3.0 Item Sets version 1.19.1 Effective Oct. 1, 2024The draft Minimum Data Set (MDS) 3.0 Item Sets version (v)1.19.1 and Item Matrix are now available. The MDS Item Sets v1.19.1 will be effective beginning October 01, 2024. From https://www.cms.gov/medicare/quality/nursing-home-improvement/resident-assessment-instrument-manual
- Part B Therapy: 2024 Threshold Amounts and Updated Code ListTherapy Services: Per-Beneficiary CY 2024 Threshold Amounts The CY 2024 KX modifier threshold amounts are: More Information: Therapy Code List: 2024 Annual Update CMS updated the list of codes (ZIP) that sometimes or always describe therapy services and …
- CMS iQIES MDS Error Message Reference GuideThis user guide addresses Minimum Data Set (MDS) error messages and troubleshooting. CMS iQIES MDS Error Message Reference Guide v1.1 (posted 01/08/2024) From https://qtso.cms.gov/providers/nursing-home-mdsswing-bed-providers/reference-manuals
- CDC: ACIP Recommended Immunization ScheduleAdvisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older — United States, 2024 Weekly / January 11, 2024 / 73(1);11–15 Changes in the 2024 Adult Immunization Schedule Vaccine-specific changes in …
- Dec. 7, 2023 SNF/LTC Open Door Forum Transcript and Q&A DocumentNote: The audio file listed in the title may not be available. Thursday, December 7, 2023: Transcript, Q&A, Agenda and Audio File- Skilled Nursing Facilities/Long Term Care Open Door Forum (ZIP) From https://www.cms.gov/training-education/open-door-forums/about/odf-podcast-and-transcripts
- MDS 3.0 Quality Measures (QM) User’s Manual V 16.0 Effective Oct. 1, 2023 REVISEDIn response to provider questions related to the MDS 3.0 QM User’s Manual posted on September 20, 2023, an updated MDS 3.0 QM User’s Manual v16.0, effective 10-1-2023, is now posted. Additionally, the updated .zip file titled MDS …
- 2024 Part A MAC Update: HCPCPS Consolidated Billing Code FileADD Effective 10/1/2023 Major Category I. C. – Magnetic Resonance Imaging (MRI) Major Category II. A. – Dialysis, EPO, Aranesp, Other Related Services for ESRD Major Category III. A. -Chemotherapy Major Category III.D.-Customized Prosthetic Devices …
- The Better Care Playbook: Improving Nursing Home Care Quality CollectionExcerpted from the John A Hartford Foundation: The Better Care Playbook has released a new Collection, “Improving Nursing Home Care Quality: Understanding the Evidence and State Opportunities,” for health care stakeholders, including policymakers, health plans and …
- CDC: SARS-CoV-2 Rebound With and Without Use of COVID-19 Oral AntiviralsWeekly / December 22, 2023 / 72(51);1357–1364 Dallas J. Smith, PharmD1,2; Anastasia Lambrou, PhD1,2; Pragna Patel, MD3 Summary What is already known about this topic? Early recommended antiviral treatment prevents hospitalizations and deaths among patients with …
- CMS QSO Memo: Final Rule- Clinical Laboratory Improvement Amendments of 1988 (CLIA) Fees, Histocompatibility, Personnel, and Alternative Sanctions for Certificate of Waiver Laboratories(CMS-3326-F) Memo # QSO-24-03-CLIA Posting Date 2023-12-28 Fiscal Year 2024 Memorandum Summary• Publication of Final Rule: CMS-3326-F was published on December 28, 2023. This final rule updates the Clinical Laboratory Improvement Amendments of 1988 (CLIA) …
- ASPE: Health Information Technology Adoption and Utilization in Long-Term and Post-Acute Care SettingsThis paper provides an overview of Health Information Technology (HIT) adoption and utilization in long-term and post-acute care (LTPAC) settings. This study found that LTPAC have adopted electronic health records (EHRs) to support clinical and …
- JAMA Network Open Study: Syndromic Antibiograms and Nursing Home Clinicians’ Antibiotic Choices for UTIsMeaning These findings suggest that urinary antibiograms improve empirical antibiotic choice without increased use of overly broad initial therapy and that syndromic antibiograms should be further developed for use as an antibiotic stewardship tool in nursing …
- CDC: Coverage with Influenza, Respiratory Syncytial Virus, and Updated COVID-19 Vaccines Among Nursing Home Residents — NHSN, United States, December 2023Weekly / December 22, 2023 / 72(51);1371–1376 Summary What is already known about this topic? Nursing home residents are vulnerable to infection with and complications from SARS-CoV-2, influenza, and respiratory syncytial virus (RSV). Vaccination reduces severe …
- Guidance on Culture Change for Quality ImprovementFrom the Moving Forward Coalition and the Live Oaks Project: https://movingforwardcoalition.org/wp-content/uploads/2023/11/Guidance-on-Culture-Change-for-Nursing-Home-Quality-Improvement.pdf?mc_cid=d4ffa43439&mc_eid=0c83b59b91
- SNF QRP and SNF VBP Claims-Based Measure Manual and Accompanying Files – AvailableThis document presents technical specifications for the production of Medicare fee-for-service (FFS) claims-based measures (CBMs) for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) and Value-Based Purchasing (VBP) program maintained by the Centers for …
- CMS Health Equity Confidential Feedback Report Live Q&AVideo and transcript available This live Q&A session allowed participants to ask CMS subject matter experts about the methodologies and interpretations of the CMS Health Equity Confidential Feedback Reports for post-acute care (PAC) providers in …
- Fall 2023 Unified Regulatory Agenda for CMS and Other HHS AgenciesSome items of potential interest: HHS/FDA Proposed Rule Stage Medical Devices; General and Plastic Surgery Devices; Classification of Certain Solid Wound Dressings, Wound Dressings Formulated as a Gel, Cream, or Ointment, and Liquid Wound Washes …
- CMS: Upcoming SNF QRP Measure RemovalsThe Centers for Medicare & Medicaid Services (CMS) is alerting Skilled Nursing Facility (SNF) providers of upcoming measure removals from the SNF Quality Reporting Program (QRP). The following quality measures are planned for removal from …
- Errata V3.01.4 for MDS Data Specifications V3.01.1 (FINAL), CAT Specifications V1.06.0 Test Files, and OSA Data Specifications V3.01.0 (FINAL)Errata V3.01.4 for MDS Data Specifications V3.01.1 (FINAL) is now available for download. Six issues were added to the errata. As a result, four edits were revised, and there were several mapping changes of items …
- CMS QSO Memo: Guidance for Federal Monitoring Surveys (FMS)Memo # Admin Info: 24-05-NH Posting Date 2023-11-20 Fiscal Year 2024 Memorandum Summary • Guidance and Focus Concerns – Identifies the FY2024 and FY2025 Focus Concerns and guidance on how CMS Location staff will conduct …
- iQIES User Roles Matrix Job AidThis job aid outlines the user roles and privileges in iQIES. All users must have a role in iQIES. Version 4.1 is now available at https://qtso.cms.gov/system/files/qtso/iQIES%20User%20Roles%20Matrix%20Job%20Aid%20v4.1%20FINAL%2011.14.2023_0.pdf
- OIG Will Audit PBJ Nurse Staffing HoursAudit of Nursing Homes’ Nurse Staffing Hours Reported in CMS’s Payroll-Based Journal Nursing homes are required to electronically submit complete and accurate direct care staffing information to CMS’s Payroll-Based Journal (PBJ) system on a quarterly …
- CMS Final Rule: SNF/NF Facility Ownership and Other Disclosure RequirementsCenters for Medicare & Medicaid Services Rules Medicare and Medicaid Programs: Disclosures of Ownership and Additional Disclosable Parties Information for Skilled Nursing Facilities and Nursing Facilities; Medicare Providers’ and Suppliers’ Disclosure of Private Equity Companies …
- Trends in Ownership Structures of U.S. Nursing Homes and the Relationship with Facility Traits and Quality of CareKey points: Read the full report: https://aspe.hhs.gov/reports/nh-ownership-its-implications-quality-availability-care
- WHO Therapeutics and COVID-19: Living Guideline UpdatedWHO has updated its guidelines for COVID-19 therapeutics, with revised recommendations for patients with non-severe COVID-19. This is the 13th update to these guidelines. Updated risk rates for hospital admission in patients with non-severe COVID-19 …
- OIG General Compliance Program Guidance (GCPG) UpdatedThe GCPG is a reference guide for the health care compliance community and other health care stakeholders. The GCPG provides information about relevant Federal laws, compliance program infrastructure, OIG resources, and other items useful for understanding health …
- 2025 Medicare Advantage Proposed Rule Includes Some SNF-Related ProposalsBiden-Harris Administration Proposes to Protect People with Medicare Advantage and Prescription Drug Coverage from Predatory Marketing, Promote Healthy Competition, and Increase Access to Behavioral Health Care in the Medicare Advantage Program Fact sheet Contract Year …
- FY 2024 SNF PPS Web PricerThe application has been updated to include Fiscal Years (FYs) 2020 through 2024 updates for the Hospice, Inpatient, Inpatient Psychiatric Facility, Inpatient Rehabilitation Facility, Long Term Care Hospital and Skilled Nursing Facility Prospective Payment System …
- CY 2024 Final Physician Fee Schedule and Other Part B ProposalsNov 02, 2023 https://www.cms.gov/newsroom/press-releases/cms-finalizes-physician-payment-rule-advances-health-equity Final policies will expand behavioral health services, advance the President’s Cancer Moonshot, support family caregivers, and accelerate value-based care The Centers for Medicare & Medicaid Services (CMS) announced it is finalizing policies …
- SNF PPS MedPAC Payment Basics Fact Sheet / Educational ToolPAYMENT BASICS: SNF PPS Skilled nursing facility services payment system Additional payment basics tools: https://www.medpac.gov/document-type/payment-basic/
- CISA, HHS Release Collaborative Cybersecurity Healthcare ToolkitWASHINGTON – The Cybersecurity and Infrastructure Security Agency (CISA) and the Department of Health and Human Services (HHS) co-hosted a roundtable discussion on the cybersecurity challenges that the U.S. healthcare and public health (HPH) sector system …
- CDC: Health Workers Report Harassment, Symptoms of Poor Mental Health, and Difficult Working ConditionsMore than double the number of health workers reported harassment at work in 2022 than in 2018. This may include threats, bullying, verbal abuse, or other actions from patients and coworkers that create a hostile …
- MDS 3.0 RAI Manual: CMS Adds a Second Errata Effective Oct. 1, 2023The PDF file labeled “MDS3.0RAIManualv1.18.11R.Errata.v2.October.20.2023” is now available. The errata document contains revisions to the MDS 3.0 RAI Manual version (v)1.18.11R to provide clarity and additional guidance in Section D and Chapter 6 to support item D0100, …
- UPDATED: Final MDS 3.0 Item Sets version 1.18.11 v6The final Minimum Data Set (MDS) 3.0 Item Sets version (v)1.18.11 have been updated and are now available. Changes in this version (listed below) align the item sets with the Errata V3.01.3 for MDS Data Specifications …
- CMS Post-Acute Care Health Equity Confidential Feedback Reports, Online Webinar, and Fact SheetAs part of our commitment to advance health equity and strengthen the Medicare Program, the Centers for Medicare & Medicaid Services (CMS) has released two Health Equity Confidential Feedback Reports to post-acute care (PAC) providers: the …
- WHO COVID-19 Infection Prevention and Control Guidelines UpdatedOverview from the World Health Organization The Infection prevention and control in the context of coronavirus disease 2019 (COVID-19): a living guideline consolidates technical guidance developed and published during the COVID-19 pandemic into evidence-informed recommendations for infection prevention …
- 2024 Medicare Parts A & B Premiums and DeductiblesFrom https://www.cms.gov/newsroom/fact-sheets/2024-medicare-parts-b-premiums-and-deductibles On October 12, 2023, the Centers for Medicare & Medicaid Services (CMS) released the 2024 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, and the 2024 Medicare …
- CMS Transmittals Update Manuals to Exclude Marriage and Family Therapist and Mental Health Counselor Services From Consolidated BillingTransmittal #R12283CP Issue Date 2023-10-05 Subject Internet Only Manual Updates to Pub. 100-02 and 100-04 to Implement Consolidated Appropriations Act 2023 Changes for Skilled Nursing Facility (SNF) Policy: The Consolidated Appropriations Act, 2023 (Pub. L. …
- CDC: RSV Data for Hospitalized Adults 60 and Older
- CDC: Disparities in COVID-19 Vaccination Status Among LTC Residents — USA, Oct. 31, 2022–May 7, 2023Weekly / October 6, 2023 / 72(40);1095–1098 Summary What is already known about this topic? Long-term care (LTC) facility residents are vulnerable to SARS-CoV-2 infection because of their advanced age, medical complexity, and congregate living situation; …
- CMS iQIES Reports User Manual v2.5This user manual provides information for CMS, Providers, Vendors, Accrediting Organizations, Contractors, and State Agencies to effectively perform Reports functions and the processes necessary to request, view, download, and save reports in iQIES. Also see …
- CMS iQIES Notice of Upcoming SNF QRP Measure Removals The Centers for Medicare & Medicaid Services (CMS) is alerting Skilled Nursing Facility (SNF) providers of upcoming measure removals from the SNF Quality Reporting Program (QRP). The following quality measures are planned for removal from …
- CDC Viral Respiratory Pathogens ToolkitPreparing for and responding to nursing home residents or healthcare personnel (HCP) who develop signs or symptoms of a respiratory viral infection: Find the toolkit at https://www.cdc.gov/longtermcare/prevention/viral-respiratory-toolkit.html
- CMS QSO Memo QSO-23-01-NH: Revisions to Special Focus Facility (SFF) Program-UpdatedMemo (Technical corrections posted: 09/27/2023): QSO-23-01-NH (PDF) Press release: Changes to CMS’ Special Focus Facilities program will increase scrutiny, hold facilities accountable for substandard safety and quality, and improve care for residents As part of the …
- CMS QSO Memo: Civil Money Penalty Reinvestment Program RevisionsMemo # QSO-23-23-NHs Posting Date 2023-09-25 Fiscal Year 2023 Title Memorandum Summary CMS is committed to reinvesting civil money penalty (CMP) funds for projects to support the quality of care and life for nursing home …
- Five-Star Technical User’s Guide Plus Claims-Based Measures Appendix (Updated)CMS created the Five-Star Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily. The Nursing Home Compare Web site features a quality rating system that gives each nursing home …
- FY 2024 ICD-10-CM Codes and Coding Guidelines Effective Oct. 1, 2023: Errata and Updated Files2024 release of ICD-10-CM October 1, 2023 release of ICD-10-CM The FY2024 ICD-10-CM codes are to be used from October 1, 2023 through September 30, 2024. Note: This replaces the FY 2023 – April 1, …
- SNFRM: Technical Specifications for This SNF VBP Measure2023 Measure Updates and Specifications Report Skilled Nursing Facility Value-Based Purchasing Program Skilled Nursing Facility 30-Day All-Cause Readmission Measure –Version 2.0 This report describes updates that have been made to the Skilled Nursing Facility 30-Day …
- SNF QRP FAQs for FY 2024An update to the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Frequently Asked Questions (FAQs) document is now available. This document has been updated to reflect the finalized policies for the SNF QRP in …
- FY 2024 SNF VBP Program Fact Sheet, Timeline, and FAQsFY 2024 SNF VBP Resources
- FY 2025 (Calendar Year 2023) SNF QRP APU Table for the MDS Data Submission Threshold–RevisedThe FY 2024 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule (88 FR 53200) revised data collection and submission requirements for the SNF Quality Reporting Program (QRP) affecting the Fiscal Year (FY) 2025 …
- FY 2026 (Calendar 2024) SNF QRP Data Collection and Final Submission Deadlineshe FY 2024 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule (88 FR 53200) revised data collection and submission requirements for the SNF Quality Reporting Program (QRP) affecting the Fiscal Year (FY) 2026 …
- FY 2025 (Calendar 2023) SNF QRP Data Collection and Final Submission Deadlines — RevisedThe FY 2024 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule (88 FR 53200) revised data collection and submission requirements for the SNF Quality Reporting Program (QRP) affecting the Fiscal Year (FY) 2025 …
- SNF QRP QM Calculations and Reporting User’s Manual V5.0, Change Table, Risk Adjustment and Imputation Appendix Files, and HCC ICD-10 CrosswalksThe Skilled Nursing Facility Quality Reporting Program (SNF QRP) Quality Measure Calculations and Reporting User’s Manual Version 5.0 serves as an update to the specifications used to calculate quality measures that are included in the SNF …
- 2022 Nursing Home Staffing Study Final ReportIn February 2022, the Biden-Harris Administration announced a comprehensive set of reforms aimed at improving quality and safety for residents in nursing homes. One aspect of this initiative was conducting a new Nursing Home Staffing …