AAPACN’s QAPI Focus: Section GG tool can be used at quality assurance and performance improvement (QAPI) meetings to focus specifically on concerns regarding section GG documentation and coding accuracy. This tool identifies specific section GG key performance indicators (KPIs) that can be used to demonstrate progress toward a data-driven proactive …
The Skilled Nursing Facility Quality Reporting Program (SNF QRP) Measure Calculations and Reporting User’s Manual v7.0 and accompanying files are now available. These materials serve as an update to the specifications used to calculate quality measures that are included in the SNF QRP and will be effective beginning October 1, 2025. The …
The Centers for Medicare & Medicaid Services (CMS) released a revised memo, QSO-25-20-NH REVISED, on Sept. 10, 2025, delaying the changes to the long-stay (LS) Antipsychotic Measure. CMS had previously announced the measure would be expanded to include Medicare and Medicaid claims and encounter data, in addition to Minimum Data …
The Centers for Medicare & Medicaid Services (CMS) recently announced the August 2025 Performance Score Reports for the fiscal year (FY) 2026 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program are available for download via the Internet Quality Improvement and Evaluation System (iQIES). Access this report to review the performance information …
The Centers for Medicare & Medicaid Services (CMS) convened a Technical Expert Panel (TEP) on May 12 and 14, 2025, to obtain input on potential cross-setting updates to the Falls with Major Injury (FMI) measure. The TEP was held in response to concerns regarding potential underreporting on the current measure …
Question: The Five-Star Preview Report for July 2025 still shows the standard survey from three years ago. I thought the third survey would no longer be used? Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: CMS has stated that the third survey would be shown on the Care Compare …
On July 31, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a final rule for updates to Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for fiscal year (FY) 2026. CMS is publishing this final rule in …
Effective with the July 2025 refresh, the Centers for Medicare & Medicaid Services (CMS) is implementing a change to the methodology for calculating the Health Inspection domain, shifting from using the three most recent standard health inspection surveys to the two most recent standard health inspection surveys to calculate Health …
The Centers for Medicare & Medicaid Services (CMS) released a memo that will have a significant impact on the health inspection star rating and how the long-star antipsychotic measure is calculated, among other changes: Health Inspection Star Rating: Long-Stay Antipsychotic Measure Methodology: Other changes: For more details, see the memo: …
Memo # QSO-25-20-NH Posting Date 2025-06-18 Fiscal Year 2025 Memorandum Summary • Post Performance Data for Nursing Home Chains – “Chains” refers to groups of Medicare-certified nursing homes that are connected through common owners, and operators (also called “affiliated entities”). CMS will begin posting aggregated performance information for these nursing homes on …
