United States

Senior Living Health Care Connection: SNFs may get 2 percent cut

SENIOR LIVING HEALTH CARE CONNECTION  | 

The skilled nursing facility (SNF) final rule of fiscal year 2016 outlined the SNF quality reporting program (QRP) requirements. Any SNF determined to be noncompliant with these requirements may be subject to a 2 percent payment reduction in their annual payment update which could start October 2017.

SNFs found noncompliant with the quality reporting requirements have received a letter of notification indicating the noncompliance and the possible rate reduction which includes instructions on how to complete a reconsideration of this decision. Additionally, on July 14, 2017, noncompliance letters have been uploaded into the certification and survey provider enhanced reporting (CASPER) system found in the quality improvement and evaluation systems (QIES). SNFs have 30 days from the date on the noncompliance letter to apply for reconsideration. No requests after that date will be accepted. SNFs must email the requests with the subject line, “SNF QRP reconsideration request,” and include the following:

  • SNF Centers for Medicare and Medicaid Services (CMS) certification number
  • SNF name
  • CEO or designated personnel contact information including name, telephone number, email address and mailing address
  • CMS reason(s) for noncompliance
  • Information indicating why the SNF should not be found in noncompliance and supporting documentation supporting SNF compliance.

SNFs must email the entire request to: SNFQRPReconsideration@cms.hhs.gov. Detailed instructions can be found in the SNF quality reporting reconsideration and exception and extension web page.

For more information, contact Joan McCarthy at +1 312 634 3479. 

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