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SNF Submission Deadline Notice
The submission deadline for the Skilled Nursing Facility (SNF) Quality Reporting Programs is approaching. All data must be submitted no later than 11:59 p.m. Pacific Standard Time, 1:59 a.m. CST, on November 15, 2018.
The list of measures required for this deadline can be found on the CMS QRP websites:
It is recommended that providers run applicable validation/analysis reports prior to each quarterly reporting deadline in order to ensure that all required data has been submitted.
CORMAC sends informational messages to IRFs, LTCHs, and SNFs that are not meeting APU thresholds on a quarterly basis ahead of each submission deadlines. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@cormac-corp.com and be sure to include your facility name and CMS Certification Number (CCN), along with any requested email updates.
2018 RAI Manual is now available!
The final version of the MDS 3.0 RAI Manual v1.16 and MDS Item Set, effective October 1, 2018, have been posted to the CMS MDS 3.0 RAI Manual webpage:
MDS Forms (Item Sets) v1.16.1 October 1, 2018 (scroll down to the bottom of the page under 'Related Links')
Quality measure review and proper documentation for loss of bowel and bladder control assists in improving the quality of care for your residents. Click on the following links to learn more about this quality measure and coding.
Reducing Antipsychotic Medication Use
TMF's Nursing Home Quality Improvement program has posted on reducing antipsychotic medication use. Engaging residents in their care and providing treatment alternatives assists in reducing the unnecessary use of antipsychotics. Click on the following links to learn more about reducing the use of antipsychotic medications:
Effective April 30, 2018, Skilled Nursing Facilities are required to use the revised Skilled Nursing Facility Notice of Non-coverage (SNF ABN), so be sure to update your billing staff regarding these changes.
With this revision, CMS is discontinuing the five Skilled Nursing Facility (SNF) Denial Letters and the Notice of Exclusion from Medicare Benefits (NEMB-SNF), Form CMS-20014. Please note, the Notice of Medicare Non-Coverage (NOMNC), Form CMS-10123 is not being discontinued with this revised SNF ABN. SNFs will continue to use the Advance Beneficiary Notice of Non-coverage (ABN, Form CMS-R-131) for items or services that Medicare may be deny under Medicare Part B. SNFs may start using the updated Notice of Non-Coverage anytime, but as of April 30, 2018, the use of the new notice is mandatory.
Note: Further details are available at https://www.cms.gov/Medicare/Medicare-General-Information/BNI/FFS-SNFABN-.html. You may download the revised Form CMS-10055 in the Downloads section of that webpage. If you have any questions, please contact Novitas, your Medicare Administrative Contractor (MAC), at: 1-855-252-8782.
PBJ Important Update:
As of April, 2018, CMS will use PBJ data to determine each facility’s staffing measure on Nursing Home Compare and calculate the staffing rating used in the Nursing Home Five-Star Quality Rating System. Beginning June 1, 2018, nursing homes will no longer be required to complete the staffing portion of the CMS-671 form, however all other information listed on the form is still required.
Caution: Nursing homes reporting 7 or more days in a quarter with no RN hours, OR who fail to submit any data by the required deadline of May 15, 2018, will receive a one-star rating in the staffing domain, which will drop their overall (composite) star rating by one star for a quarter. This action will be implemented July 2018, after the May 15th submission deadline and applies to Quarter 1, 2018 (January – March, 2018) data.
As a reminder, each nursing home’s census is calculated using MDS data, and the census information is used to calculate the staffing measure. Therefore, it is critical that nursing homes adhere to the MDS completion and transmission requirements. This includes submitting discharge assessments timely, and completing required assessments for every resident within the certified facility.
CMS has identified some problem areas in reporting their staffing data on PBJ and are reminding nursing homes to exclude time for meal breaks whether paid or unpaid for all staff (exempt, nonexempt, and contract).
Nursing homes are strongly encouraged to run CASPER reports (1700D Employee Report, 1702D Individual Daily Staffing Report, and/or 1702S Staffing Summary Report) prior to their submission, and before the quarterly deadline, to review their data and ensure accuracy. Also, homes should continue to review their monthly Provider Preview reports located in CASPER for feedback on their most recent submission.
The PBJ website, Policy Manual, and Frequently Asked Questions are available HERE.
Click here for an overview of Oklahoma nursing home performance with comparative data from region and nation for select long-stay quality measures for the period ending March 31, 2017. Note: Statistical significance was determined based on the 95% confidence interval. Email QIEShelpdesk@health.ok.gov for more information.
For questions related to software or technical requirements, please email NursingHomePBJTechIssues@cms.hhs.gov.
For questions related to PBJ policies, please email NHstaffing@cms.hhs.gov.
Nursing Facilities have two options available for obtaining software specific to the transmission of MDS assessment data:
Facilities may obtain software developed by private vendors, but need to ensure the software meets the minimum specifications established by CMS.
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JRAVEN / RAVEN Software for Long Term Care Providers:
Dialer Software (Juniper Client/Verizon):