Rising to The Top Deficiency: Abuse Reporting and Investigations

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A common struggle SNF administrative teams have is conducting a thorough investigation to rule out abuse. Abuse and investigation citation frequency is steadily climbing above the infamous Infection Prevention & Control that has ranked number one across the nation since the start of our new survey process. If you are struggling in this area, start...

CMS Releases Competency Assessment Toolkit

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Last week, the Centers for Medicare & Medicaid Services (CMS) announced upcoming efforts to support better care and outcomes for nursing home residents under the Civil Money Penalty Reinvestment Program (CMPRP). This three-year initiative aims to improve residents’ quality of life by equipping nursing home staff, administrators and stakeholders with technical tools and assistance to...

Here are Some Answers to Your QRP Questions…

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So, your QRP Review and Correct Report shows >80% compliance but CMS is still penalizing you with a 2% reduction in APU? Getting your arms around the QRP data, the Review and Correct Reports and figuring out what needs to be done with the MDSs flagged with incomplete data is not an easy task! A...

Survey Results, coming back to your 5 Star Rating!

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Since November 28, 2017, everyone has had a little less survey stress knowing their survey outcomes would not impact their Five Star Rating. Unfortunately, those days are dwindling and it’s time to put this topic back on the table. Details of the survey freeze can be found on S&C memorandum 10-04-NH. CMS has not yet...

CMS Issues RAI Manual Revisions…

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We are letting providers know that yesterday CMS finalized the RAI Manual revisions taking effect October 1, 2018. CMS’s most recent MDS changes (version 1.16.0) will significantly impact how they; • assess residents • document • communicate with one another • plan for care. These new requirements effect several sections of the MDS including but not...

Avoid the next QRP 2% Reduction in APU!

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Skilled Nursing Facilities not compliant with the Quality Reporting Program (QRP) requirements will be receiving a 2% reduction in their Annual Payment Update (APU) beginning Fiscal Year 2018 and each subsequent rate year moving forward. Facility’s subject to this reduction received their non-compliance letters from the Medicare Administrative Contractors (MAC’s) earlier this month via USPS....

QRP Provider Preview Reports

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SNF QRP Public Reporting is coming! What you need to know about your SNF’s QRP Provider Preview Reports. The IMPACT Act of 2014 requires SNF’s to submit Quality Measure data that relates to the care they provide, and to make that information available to the public. The SNF Quality Reporting Program (QRP) data will be...