Good Morning Everyone, Just yesterday, CMS posted the following announcement related to Skilled Nursing Facility Quality Reporting Program (SNF QRP) non-compliance. FY 2023 begins Oct. 1. Quality Reporting Program: Non-Compliance Letters for FY 2023 APU CMS is providing notifications to facilities that were determined to be out of compliance with Quality Reporting Program (QRP) requirements…...
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Regulatory Reminders
Good morning everyone. CMS has released a flurry of regulatory updates lately. Late yesterday, CMS released the long awaited update to the 5-Star user’s manual and boy was it a surprise with two important changes outlined. Not only has CMS folded the new weekend staffing and staff turnover measures into the star rating, they have…...
FY 2023 SNF PPS Proposed Rule: The Facts behind the Headlines (Hidden Reductions)
I love the summer. I look forward to it all year. In East Tennessee where I live, this time of year is especially beautiful. We are high up enough to escape the sweltering heat and humidity most days until the dog days come. It is green and lush here and the summer floral extravaganza is… Continue reading FY 2023 SNF PPS Proposed Rule: The Facts behind the Headlines (Hidden Reductions)
Regulatory Reminder: CMS Releases Revised Long-Term Care Surveyor Guidance
Good afternoon everyone. As you may have heard, this afternoon CMS has issues the long awaited updated interpretive guidance for phase 2 and phase 3 conditions of participation as well as other guidance. See below the summary points included in the memo to state survey directors, QSO-22-19, that was released today. This memo details revisions…...
Regulatory Reminder: PBJ
Good afternoon everyone. This late edition of Regulatory Reminders is related to PBJ. This month, CMS quietly issued an updated PBJ Manual. I have attached the revised manual. All of the updated language shows up in the manual in red. PBJ accuracy is critical. Here are the main revisions. on page 1-3, CMS has added…...
Regulatory Reminders: COVID-19 Vaccine Mandate
Good afternoon everyone. Just this week, on Tuesday, June 14th, CMS issued QSO-22-17-All with a subject: Surveys for compliance with Omnibus COVID-19 Health Care Staff Vaccination Requirements. In that memo CMS indicated that, to date, 95.0% of providers and suppliers surveyed by states have been found to be in substantial compliance with vaccine requirements. Specifically,…...
State Health Inspection Cut Point Levels. The How and the Why Part III
When I was a teenager, I was always very aware that I was not one of the “popular” kids. When you’re a 15 year old that can be very awkward. I didn’t understand it at the time. That’s just the way things were in the social order of junior high and high school. It didn’t… Continue reading State Health Inspection Cut Point Levels. The How and the Why Part III
A Tale of 2 States
Hello there Insiders! Today, we’re going to look at some of the latest data from RESDAC. We’ve just received data for quarter 4 of 2021 and want to share some observations with you. PDPM and Two States Minnesota McKnights recently published an article about skilled nursing and Minnesota. You can read it here. The short…...
PDPM Data Review – SLP
Welcome Back Insiders! Welcome to Part 3 of our series on PDPM data analysis. Today we’re focusing on trends in SLP. If you missed part 1 on nursing, or part 2 on NTAs, you can click those links and check them out. (Account is required for both.) Who better to enlist for help with this…...
Value-Based Purchasing Q2 2022 Update
On March 30th 2022 CMS updated the SNF value-based purchasing dataset. This updated both the baseline period, to 2018, and the performance period to 2019. (The actual performance period is April 1st through December 1st of 2019.) It’s typically good news when new data is released. Readers of this blog know that we often call… Continue reading Value-Based Purchasing Q2 2022 Update