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Payroll-Based Journal: The Nursing Home Compare website now reflects whether providers have submitted data by the required deadline. Additionally, providers that have not submitted any data for two consecutive deadlines will have their overall and staffing star ratings suppressed.
• Total SFF slots and candidates for each State: The number of designated slots and candidates for FY 2017 will not change from those effective since May 1, 2014.
• Initial selection notice: The State Survey Agency (SA) must notify the provider in writing of their SFF selection and conduct a meeting (either onsite or via telephone) with the nursing home’s accountable parties, and the Centers for Medicare & Medicaid Services (CMS) Regional Office (RO), if the RO wants to be included.
CMS has posted the second annual release of the Skilled Nursing Facility Public Use File (Skilled Nursing Facility PUF) with data for 2014. The Skilled Nursing Facility PUF presents summarized information on services provided to Medicare beneficiaries by skilled nursing facilities. It contains information on utilization, payment (Medicare payment and Medicare standardized payment), submitted charges, and beneficiary demographic and chronic condition indicators organized by CMS Certification Number (6-digit provider identification number), Resource Utilization Group (RUG), and state of service.
The new 2014 PUF has information for 15,026 skilled nursing facilities, almost 2.5 million stays, and over $27 billion in Medicare payments for 2014. New in the 2014 data is the demographic and chronic condition information. CMS protects beneficiaries’ personal information in all public data releases.
The Centers for Medicare & Medicaid Services (CMS) is developing an online training that will include information about Phase 1 of new Nursing Home Regulations, and will be available to all parties starting November 18, 2016.
These updates appear to be associated with new regulations published in the Nov. 15, 2012, Federal Register as part of a final rule on the 2013 outpatient hospital PPS. (See Section XVIII, Revisions to the Quality Improvement Organization Regulations, on pages 68508 – 68526 of the final rule.)
This October, the Centers for Medicare & Medicaid Services (CMS) fiscal year 2017 payment and policy changes for skilled nursing facilities take effect—with PPS payment rate updates, changes to the SNF Quality Reporting Program, and the SNF Value-Based Purchasing Program. Right on the heels of that, we expect CMS to issue the long-awaited Final “Mega-Rule.” This additional new rule will revise requirements for long-term care facilities’ participation in the Medicare and Medicaid programs and will be the first comprehensive change to the Conditions of Participation since 1991. When the Proposed Rule was issued on July 13, 2015, it was evident that the Department of Health and Human Services intended to align priorities for all healthcare providers, as it included major revisions in the areas of quality, person-centered care, facility assessment, competency-based approaches, and modernization of standards—as well as robust requirements for compliance and ethics.
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