SNF QRP and SNF VBP Measures Under Consideration (MUC) List Updated

Note that CMS is planning a substantial revision to the adopted but still not implemented SNFPPR measure (SNF VBP) as well as to COVID-19 HCP Vaccination measure (SNF QRP). MUC2022-084* SNF QRP COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) (2022 revision)*   Outcome measure: Percentage of healthcare personnel who are …

FY 2024 SNF VBP Program December 2022 Quarterly Reports Are Now Available

The December 2022 Quarterly Confidential Feedback Reports for the fiscal year (FY) 2024 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program are now available to download via the Quality Improvement and Evaluation System (QIES)/Certification and Survey Provider Enhanced Reports (CASPER) reporting system. These reports contain facility and stay-level data and …

TIP: Quality Improvement Organization Offers Training Library

For nursing facilities in 29 states, Kepro serves as the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO). Kepro provides education for healthcare providers to help ensure that appeals are performed quickly and that potential errors are avoided. Review the training videos below from Kepro. • Medical Record Submission ProcessVideo (YouTube) • …

NHSN Healthcare Personnel Safety (HPS) Component Website for SNF QRP HCP Influenza Reporting (11/22)

The HCP Influenza Vaccination module in the HPS component of the NHSN is where SNFs enter data for the SNF QRP’s HCP Influenza Vaccination measure. This website offers access to training slides and other educational resources. October 2022/November update Comprehensive Training – October 2022 [PDF – 2 MB]Comprehensive training slides on …

Q&A: We have a resident that is in our facility for skilled services under Medicare Part A. The family took the resident out for a funeral, and she did not return within 24 hours. Is this a Medicare Part A discharge?

Question: We have a resident that is in our facility for skilled services under Medicare Part A. The family took the resident out for a funeral, and she did not return within 24 hours. Is this a Medicare Part A discharge? Answer from Jeff Taylor: This would not be a …

2023 Annual Update of Part B Therapy Per-Beneficiary Threshold Amounts (11/22)

The purpose of this Change Request (CR) is to update the annual per beneficiary incurred expenses amounts now called the KX modifier thresholds and related policy for calendar year 2023. These amounts were previously associated with the financial limitation amounts that were more commonly referred to as “therapy caps,” before …

CMS Nursing Home Data Sets Updated (11/22)

Five-Star, NHQI, SNF QRP, SNF VBP, PBJ data October 2022: The October 2022 release includes the initial public reporting of the new quality measure, COVID-19 Vaccination Coverage among Healthcare Personnel.  Because of COVID-19 reporting exceptions, the claims-based measures were calculated excluding Q1 and Q2 2020 data. The Skilled Nursing Facilities …