Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2027 Filed on: 04/02/2026 at 5:15 pm Scheduled Pub. Date: 04/07/2026 PDF 114 Pages (397 KB) Permalink Fact sheet Fiscal Year (FY) 2027 Skilled Nursing Facility Prospective Payment System Proposed …
Listen to this article Your browser does not support the audio element. Seasonal celebrations often remind us how quickly small choices can add up. A little handful of candy or a few fruit jelly slices may seem insignificant, but piece by piece they do make an impact. In healthcare documentation …
The 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 Vaccination Summary Protocol, which is the primary manual for the module. In addition, it provides …
The Centers for Medicare & Medicaid Services (CMS) has released the updated Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131. The notice had expired in January 2026, but CMS instructed facilities to continue issuing the expired notice until the new notice is available. The updated ABN is effective now and …
The Centers for Medicare & Medicaid Services (CMS), on behalf of the U.S. Department of Health and Human Services (HHS), is making our shareholders aware of the “Adoption of Standards for Health Care Claims Attachments Transactions and Electronic Signatures (CMS-0053-F)” Final Rule that displayed today, March 20, 2026, and will …
The Office of Management and Budget (OMB) has approved the control number for the Advance Beneficiary Notice of Non-coverage (ABN) (CMS-R-131). CMS is notifying the industry through our website, and the Medicare Learning Network and has posted the updated version of the ABN below. The updated ABN is effective now …
The March 2026 Quarterly Confidential Feedback Reports for the fiscal year (FY) 2027 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 consolidated summaries of SNFs’ historical measure results, performance scores, and incentive payment …
Consistency in documentation is vital to code the MDS accurately. Several MDS items use hospital records to support coding, such as diagnoses, recent surgery, IV fluids/feeding, and tube feeding. Use the PDPM Admission Documentation Request tool as a checklist to ensure a comprehensive review of hospital documentation required to support …
Listen to this article Your browser does not support the audio element. As National Kidney Month arrives in March, so does an important reminder: our kidneys work quietly every day, filtering waste, balancing fluids, and supporting overall health. Now is the perfect time for facility coders in long-term care (LTC) …
Listen to this article Your browser does not support the audio element. The watchword that increasingly defines federal (and some state) programs that drive nursing home operations and payment is connectedness, says Scott Heichel, RN, RAC-MT, RAC-CTA, DNS-CT, IPCO, QCP, ICC, director of reimbursement and education for Pathway Health in …
