Wednesday, August 23, 2017

CMS Alerts of Issues With SNF QRP Review & Correct Reports


This week, CMS posted a notice on the skilled nursing facility (SNF) quality reporting program (QRP)  website of an issue identified with the SNF Review and Correct Report. Per CMS, 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 1 and 2 of CY 2017, it is not being used in the measure calculation. 

Therefore, the measure results on the SNF Review and Correct Report are 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. Please note that refreshes on the calculations occur on Mondays.

A second issue has been identified in the coding of one measure contained in both the SNF Quality Measure (QM) and Review and Correct Reports that affects the calculation of the measure, Application of Percent of LTCH Patients with Admission and Discharge Functional Assessment and a Care Plan that Addresses Function (NQF#2631). As a result, the data is currently being recalculated and retested for this measure in both reports. The SNF QM report for SNF QRP is not yet available and is anticipated to be released in late fall 2017. 

CMS staff are working to resolve these issues. A follow-up message will be sent by CMS as soon as these are resolved and further guidance can be given.

If you have questions concerning this information, please email the Quality Improvement and Evaluation System (QTSO) Help Desk here or call 1-800-339-9313.

SNFs should continue to review and correct assessments where appropriate. Until this fix is fully implemented by CMS, modification records will not show in the SNF Review and Correct Report.
AHCA will share more information as soon as it becomes available. 

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