The Centers for Medicare & Medicaid Services (CMS) has identified an issue related to missing discharge assessments for inactive residents. On August 23, 2013, CMS issued a survey and certification memorandum
Effective May 19, 2013, skilled nursing facility (SNF) providers will have more leeway in the minimum data set (MDS) 3.0 assessment correction policy. The Centers for Medicare & Medicaid Services (CMS) announced the revision to Chapter 5 of the Resident Assessment Instrument (RAI) User’s Manua l for the MDS 3.0 during the May 2, 2013, Open Door Forum. The current correction policy in Chapter 5 of the RAI manual, “Submission and Correction of the MDS Assessments,” will only allow facilities to inactivate an assessment if an error is discovered in the following items: A0200 – Type of Provider A0310 – Type of Assessment A1600 – Entry Date (on an entry tracking record) A2000 – Discharge Date (on a discharge/death in facility record) A2300 – Assessment Reference Date (ARD) For SNFs completing Medicare prospective payment system (PPS) assessments, the current policy results in default billing, as the ARD of the new assessment must be no earlier than the date the error was identified
On July 29, 2011, the Centers for Medicare & Medicaid Services (CMS) issued its final rule for federal fiscal year 2012 to update payment rates under the prospective payment system (PPS) for skilled nursing facilities (SNFs). The following are highlights of the final rule