SNF QRP and SNF VBP Claims-Based Measure Manual and Accompanying Files – Available

This 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 Medicare & Medicaid Services (CMS). The measures are intended to promote informed decisions among Medicare …

FY 2025 SNF VBP Program December 2023 Quarterly Reports

The December 2023 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). These reports contain facility and stay-level data and results for the SNF 30-Day All-Cause Readmission …

CMS Health Equity Confidential Feedback Report Live Q&A

Video 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 the Home Health (HH), Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing …

Fall 2023 Unified Regulatory Agenda for CMS and Other HHS Agencies

Some 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 0910-AI26 HHS/OIG Proposed Rule Stage Health Care Programs: Fraud and Abuse; Revisions to the Office …

CMS: 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 the iQIES Review and Correct Reports, Facility-Level Quality Measure (QM) Reports, and Resident-Level QM Reports …

OIG: Louisiana Nursing Homes’ Employment of Staff With Disqualifying Background Checks

Louisiana Should Improve Its Oversight of Nursing Homes’ Compliance With Requirements That Prohibit Employment of Individuals With Disqualifying Background Checks 11-29-2023 | A-06-21-02000 | Complete Report | Report in Brief Why OIG Did This Audit Background checks for employees are an important safety measure that can help protect some of the most vulnerable …

TIP: CMS Teams Up with SAMHSA to Provide New Behavioral Health Training Resource for Nursing Facilities

The Centers for Medicare & Medicaid Services (CMS) has teamed up with the Substance Abuse and Mental Health Services Administration (SAMHSA) to develop a new resource, the Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF). This new resource was developed to provide organizations with best practices related to …

How the DNS Can Lead the Team Before, During, and After an Emergency

Emergencies can occur at any moment. Fires, hurricanes, snowstorms, ice storms, water main breaks, power outages, and outbreaks are just a few of the emergencies nursing homes must prepare for throughout the year. However, in September 2023, the Department of Health and Human Services’ (HHS) Office of Inspector General (OIG) …

QAPI: How to Maximize Performance Improvement as well as Quality Assurance

The continuing expansion of the Skilled Nursing Facility Value-Based Purchasing program (SNF VBP) quality measure (QM) set is part of a multi-pronged approach by the Centers for Medicare & Medicaid Services (CMS) to encourage improvements in the quality of care for nursing home residents. The SNF VBP focuses on financial …