MDS Alert

Important Update:

CMS Mistaken on SNF Review and Correct Report

If you had trouble understanding CMS’s Quality Reporting Program data submission for SNFs, you weren’t the only one. The IMPACT Act of 2014 required the establishment of the Quality Reporting Program (QRP), beginning with fiscal year 2018, as part of the 2016 PPS final rule.

CMS released an update — basically a mea culpa — on Aug. 23, 2017, acknowledging an error in how the measures were calculated.

The memo says: “Specifically, we identified that for the SNF Review and Correct Report, if one or more modification records are submitted for a patient stay, the most recent submitted assessment, which was accepted by the Assessment Submission and Processing (ASAP) system on or prior to the submission deadline for quarters one (Q1) and two (Q2) of Calendar Year 2017 (CY2017), was not being used in the measure calculation.

“Therefore, the measure results on the SNF Review and Correct Report were not being updated to reflect any changes in the measure outcomes based on the most recently submitted assessment. This applies to all measures on the SNF Review and Correct Report. We are taking actions to correct this issue and anticipate that the report will be corrected to include the data of on modified records by early September 2017. We will continue to inform providers with further messaging when the issue has been resolved.”

Pay attention to these timeframe summary updates, as listed on the memo:

  • Early September 2017: Review and Correct Reports will be corrected to enable modified records.
  • Mid-September 2017: SNFs will be able to access, view and once again modify Q1 2017 data used in the SNF QRP assessment-based quality measures.
  • Early December: Updated Review and Correct Reports will include technical updates to the calculation of the measure Application of Percent of LTCH Patients with

            o Admission and Discharge Functional Assessment, and
            o a care plan that addresses function.

  • Early December: SNF QRP Confidential Feedback Reports (SNF QRP QM Reports) will be released.
  • May 15, 2018: SNF QRP data on measures for Q1, Q2, Q3, and Q4 will have a single submission deadline of May 15, 2018 which is the same deadline for CY2017 Q4. This deadline will also apply for SNF QRP fiscal year 2019 annual payment update determination, and will include all four quarters as well.

Find more information about the update here: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Downloads/Update-SNF-Review-and-Correct-Report-Confidential-Feedback-Report-Issues-August-2017.pdf

Find more information about the SNF QRP Data Submission guidelines here: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQuali­tyInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-Quality-Reporting-Program-Data-Submission-Deadlines.html