Per the Skilled Nursing Facility Prospective Payment System Final Rule (80 FR), any SNF found to be non-compliant with QRP requirements is subject to a 2%-point reduction in their annual payment update (APU). SNFs found to be non-compliant have received a letter from CMS that includes instructions for reconsideration requests. Requests will only be considered within 30 days of the non-compliance notification letter.
CMS recognizes that extenuating circumstances arise and can prevent SNFs from submitting QRP data on time. Because of this, SNFs have been given the opportunity by CMS to submit evidence of “extraordinary circumstances which prevented timely submission of data.”
The deadline for reconsideration requests is August 15. CMS will notify SNFs of their decision in September.