Notes from the October 28 ODF
During the October 28 SNF Open Door Forum (ODF), CMS provided callers with updated information about the SNF PPS transition, MDS 3.0, survey and certification process, and technical issues with MDS data submission.
Some highlights from the ODF are as follows:
- CMS is still working diligently to develop a hybrid RUG-III system to comply with the partial RUG-IV delay included in the healthcare reform law. However, the Senate will be considering a repeal of the one-year partial delay of RUG-IV after the election. The House already passed the bill containing this provision in July. If passed, payment under the RUG-IV system will continue and no hybrid system will be needed.
- The National Quality Forum is currently voting on 17 quality measures. Voting will come to an end November 15. The current QM/QIs should be removed from the nursing home compare Web site and Five-Star scoring in April. The new QM/QIs should be posted on the nursing home compare Web site and used in Five-Star calculations sometime in the spring of 2012.
- Due to the technical issues with the MDS 3.0 Assessment Submission and Processing System (ASAP), some facilities may have difficulties complying with the transmission requirements under F287. Therefore, surveyors have been instructed to accept late submission time stamps for assessments submitted between October 1 and December 31. If a SNF did not comply with F287 and the noncompliance is not a result of problems with the ASAP system, surveyors can cite facilities at a lower level.
- CMS has received multiple comments that the requirement to complete the resident interviews with every indicated assessment can create a lot of work for SNF staff when two assessments must be completed in a short timeframe. For example, if a resident is discharged a few days after the ARD for a scheduled PPS assessment, the SNF staff would have to complete the resident interviews twice (once of each assessment) in a very short period of time. Although CMS will be looking into this issue in the future, facilities must continue to complete the interviews for each assessment where they are required.
- The majority of the questions during the Q&A portion of the call were about error codes received on final validation reports. Based on the answers to these questions, it seems like many of the errors may be occurring due to potential software problems. A list of all the error messages can be found in Chapter 5 of the MDS 3.0 Provider’s User Guide on the QTSO Web site. Providers should refer to this list to determine the cause of the error and necessary action they must take. If the error indicated by the message and description does not appear to be warranted, providers should contact their vendors to see if a possible software problem is causing the error, rather than a mistake by the facility.
The next SNF ODF will be held on Tuesday, December 9.
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MacKenzie Kimball
MacKenzie Kimball is a Managing Editor in HCPro's long-term care division. She is the editor of the monthly newsletter PPS Alert for Long-Term Care and the MDS 3.0 Update e-newsletter.
MacKenzie has written 321 posts.
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need guidance on A1700. our system brings this question up on all assessments. we are contacting our software provider but in the meantime what do you code if doing a quarterly assessment or any assessment other than an admission or reentry assessment
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