iQIES Assessment Management: Assessment Submitter Manual

This document shows how to upload assessments, create and manage assessments, complete change requests, review Final Validation Reports (FVR), and use the Validation Utility Tool (VUT) in iQIES. Jun 24, 2026 From https://qtso.cms.gov/software/iqies/reference-manuals

OIG to do Nationwide Analysis of Antipsychotic Drug Use in Nursing Homes

Announced on 06/29/2026 | Last Modified on 06/29/2026 | Project Number: OEI-02-23-00202 Status Active Agency Centers for Medicare and Medicaid Services OBJECTIVE The overuse of antipsychotic drugs presents a risk to nursing home residents, particularly those with dementia.  These drugs are not approved to treat dementia, and the Food and Drug Administration has warned that …

Getting Discharge Function Scores Right: What MDS Coordinators Need to Know

By Sandra Rich, RN | SVP of Clinical Reimbursement, Limitlessli If you coordinate MDS assessments in a skilled nursing facility, you already know the Discharge Function Score is one of the most consequential measurements you’ll capture. It influences your facility’s Quality Reporting Program performance and ultimately how your facility is …

iQIES will Implement an Inactive User Policy

To: iQIES Users, CMS Staff Inactive iQIES User Accounts CMS security policy requires iQIES to deactivate user roles for inactive accounts. To meet this requirement, iQIES will apply an inactive user policy beginning this month. This policy helps CMS keep the system safe and secure. How the Policy Works You …

Navigating Drug Regimen Review on the MDS: Clinical Judgment Is Key

Listen to this article Your browser does not support the audio element. The ability to identify and act upon potential or actual clinically significant medication issues drives the coding of N2001 (Drug Regimen Review) and its companion item N2003 (Medication Follow-Up) on the PPS 5-Day MDS, as well as N2005 …

Q&A: If a resident revokes hospice services, does the ARD need to be scheduled to avoid coding hospice in O0110K?

Question: If a resident revokes hospice services, does the ARD need to be scheduled to avoid coding hospice in O0110K? Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: The Significant Change in Status Assessment (SCSA) to come off hospice must be completed within 14 days of the end of …

TIP: New CMS Resource Available – OBRA Discharge Assessment Determination Fact Sheet

The Centers for Medicare & Medicaid Services (CMS) has released a one-page resource to help providers determine when an OBRA Discharge assessment is required under the MDS 3.0 RAI User’s Manual. The fact sheet outlines key discharge criteria, including hospital admissions, observation stays greater than 24 hours, and discharges to …

Dementia Physician Query

The Dementia Physician Query tool supports accurate clinical documentation by helping providers clarify the type, severity, and associated manifestations of a resident’s dementia diagnosis using information documented in the medical record. The tool also allows providers to identify when diagnostic details, including dementia type, severity, or behavioral manifestations, are unknown …

FY 2027 ICD-10-CM codes effective Oct. 1, 2026

The October 1, 2026 diagnosis code update files are now available.  Use these files for discharges occurring from October 1, 2026 – September 30, 2027 and for patient encounters occurring from October 1, 2026 – September 30, 2027. The 2027 ICD-10-CM & PCS files section below contains information on the …

SNF QRP: OBRA Discharge Assessment Determination Fact Sheet

The Centers for Medicare & Medicaid Services (CMS) is offering a one-page resource that clarifies when an OBRA Discharge assessment is required under the MDS 3.0 RAI User’s Manual (Chapter 2). This resource outlines the primary discharge criteria, including hospital admissions, observation stays greater than 24 hours, and discharges to other care …