CMS Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Update

February 1, 2018

The Skilled Nursing Facility (SNF) Quality Reporting program (QRP) deadline has been extended to May 15, 2018 for CY 2018 data. However, SNFs are encouraged to review their data submission on at least a quarterly basis.
The list of measures required for this deadline can be found on the CMS QRP websites:

As a reminder, 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

CMS has released a revised SNFABN along with newly developed, concise and separate instructions for form completion. The revised SNFABN has the requirements from the denial letters and looks very similar to the ABN with 3 different options. CMS will discontinue the 5 SNF Denial Letters and the Notice of Exclusion from Medicare Benefits – Skilled Nursing Facility (NEMB-SNF). Since the NEMB-SNF was used as a voluntary notice for care that is never covered by Medicare, CMS will continue to encourage SNFs to issue the revised SNFABN in this voluntary capacity. Chapter 30, Section 70 of the Medicare Claims Processing Manual revisions will be forthcoming. The revised SNFABN will be mandatory for use on May 7, 2018. During the interim, SNFs may continue to use the old version of the SNFABN, the Denial Letters or the NEMB-SNF, however, it is recommended that the revised SNFABN be used as soon as possible. The revised SNFABN and the form instructions may be located at:

http://www.cms.gov/Medicare/Medicare-General-Information/BNI/index.html

Please let us know if you have any questions.


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