We recently notified Skilled Nursing Facility providers that we found two issues in our technical coding of the Review and Correct Report, one of which also affected the Confidential Feedback Report (due for release in October.)
Specifically, we identified that for the SNF Review and Correct Report, 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 one (Q1) and two (Q2) of Calendar Year 2017 (CY2017), was not being used in the measure calculation. Therefore, the measure results on the SNF Review and Correct Report were 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. We are taking actions to correct this issue and anticipate that the report will be corrected to include the data of on modified rec
ords by early September 2017. We will continue to inform providers with further messaging when the issue has been resolved. Please note that refreshes on the calculations occur on Mondays.
Please note, this report was created specifically for SNF Providers. A second issue has been identified in the technical coding which has affected our calculation of one measure contained in the SNF Review and Correct Report, 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 measure calculation is being corrected and retested. Once this issue has been resolved, the data for this measure will be recalculated and the updated results will be available on the Review and Correct Report. We anticipate this measure’s corrected calculation will be reflected in the Review and Correct Report in early December, 2017.
Additionally, the technical coding issue related to the measure Application of Percent of LTCH Patients with Admission and Discharge Functional Assessment and a Care Plan that Addresses Function also affected the SNF QRP Confidential Feedback Report (SNF Quality Reporting Program (QRP) Quality Measure Report) that was anticipated for release in October, 2017. Correcting the coding issue for this measure has impacted the release of this specific report. We anticipate that this report will be released in early December, 2017.
Due to the issues outlined above, CMS is working on modifying the assessment measure data submission deadline dates for CY2017 quarters one, two, and three to coincide with the CY2017 Q4 deadline date of May 15, 2018. This means that all data for assessment based measures required in the SNF QRP in CY2017 will remain open to modifications until May 15, 2018. Additionally, we will apply this deadline for all quarters of reporting to the Fiscal Year 2019 (FY2019) annual payment update determinations as well. We anticipate that the data currently “frozen” as of August 15, 2017 to be subject to updates as of mid-September. We intend to issue another notice once the Review and Correct Report Q1 2017 SNF QRP data is accessible again.
Summary of Time-frames:
Early September, 2017:
Review and Correct Reports will be corrected to enable modified records
SNFs will be able to access, view and once again modify Q1 2017 data used in the SNF QRP assessment based quality measures
Updated Review and Correct Reports will include technical updates to the calculation of the measure Application of Percent of LTCH Patients with Admission and Discharge Functional Assessment and a Care Plan that Addresses Function
Release of the SNF QRP Confidential Feedback Reports (SNF QRP QM Reports)
May 15, 2018:
SNF QRP data on measures for Q1, Q2, Q3, and Q4 will have a single submission deadline of May 15, 2018 which is the same deadline for CY2017 Q4. This deadline will also apply for SNF QRP FY2019 APU determination and will include all 4 quarters as well.