Category: Skilled Nursing Facility

CMS releases SNF Provider Preview Reports

CMS recently released the updated SNF Provider Preview Reports. Based on quality data submitted by SNFs, the reports include assessment-based quality measures recorded between Q1 2018 and Q4 2018 and claims-based quality measures recorded between Q4 2016 and Q3 2018. SNFs have the opportunity to review their performance data until September 16. While corrections to […]

AHCA awards five long-term and post-acute care providers with Gold Quality Award

The American Health Care Association (AHCA) and National Center for Assisted Living (NCAL) recently awarded four SNFs and one assisted living community their highest accolade, the Gold Quality Award. For SNFs to be considered for this award, they must “have invested multiple years in mastering and applying the rigorous quality improvement standards of the Baldrige […]

Study finds 62% of post-acute care facilities rely on phone calls to transfer resident data

PointClickCare released a study, 2019 Patient Transition Study: Technology Use During Transitions of Care, in partnership with research firm Definitive Healthcare. Researchers found that 62% of post-acute care facilities rely on phone calls to transfer resident information from hospitals to post-acute care facilities. The study reveals how commonly phone calls, emails, and even faxes are […]

SNF QRP reconsideration deadline on August 15

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 […]

OIG releases new report, prompting CMS to publish new fact sheet for 3-day rule

The HHS Office of Inspector General (OIG) has released the “Solutions to Reduce Fraud, Waste, and Abuse in HHS Programs: Top Unimplemented Recommendations” which includes eight recommendations to CMS regarding Medicare Parts A and B: CMS should analyze the potential impacts of counting time spent as an outpatient toward the 3-night requirement for skilled nursing […]

CMS issues new SNF PPS Final Rule for 2020

On July 30 CMS issued a final rule updating the payment rates under the prospective payment system (PPS) for SNFs. The rule, designed to increase aggregate payments to SNFs by $851 million in 2020 compared to 2019, will go into effect on October 1. This rule includes three main revisions: The rule includes minor changes […]

Proposed rule aims to make CMP waiver process standard

In its proposed rule released this week, CMS aims to eliminate the requirement for facilities to actively waive their right to a hearing in writing. Instead, there would be a waiver process that would operate by default when CMS has not received a timely request for a hearing. The 35% penalty reduction would remain. According […]