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During the March 1 Skilled Nursing Facility (SNF) Open Door Forum (ODF), the Centers for Medicare and Medicaid Services (CMS) discussed developments with:
An encore audio recording of this call is available from March 5 through March 8, 2012. Dial 1-800-859-2056, conference ID: 27269788.
Upcoming Revisions to the SNF Traditional Survey Process and Provider Forms: As the new QM reports become available, CMS is starting to get the survey process for the traditional survey ready for the surveyors to begin using the QM reports again. Surveyors will continue to ask for the facility resident roster report and will start tracking the new QMs, although they will not keep every single QM that was part of the main set. CMS stated that the new QM list surveyors will keep track of is much shorter, excluding mostly the QM items on immunization. CMS also stated that the thresholds for the QM items will now be nationally-based, instead of state-based. There will also be changes in the 2 major forms that facility will have to turn in (the traditional survey form handed out by the surveyor to the provider to fill out telling them about all the facility’s residents and what conditions they have, and the 672 census form). Changes will be done in the State Operations Manual and will be available for viewing once finalized. You can download the latest MDS QI User’s Manual (v5.0 03-10-2012), which describes the methodology used to select short and long stay samples and other records used to compute the QMs and technical details on how the QMs were calculated.
Release of New Combined Medicare Non-Coverage (NOMNC), CMS 101-24, and Detailed Explanation of Non-coverage (DENC) for Patients in Original Medicare and Medicare Extended Plans: CMS has just release and update to the “combined” version of the NOMNC and DENC for use in both the original Medicare beneficiary and Medicare Advantage settings. This notice will replace the CMS 10123 (Original Medicare notice) and the CMS 10095 (Medicare Advantage notice). This combined notice retains the form number of the current Original Medicare Notice (CMS 10123) and the name of the MA notice (Notice of Medicare Non-Coverage, or NOMNC). CMS also is issuing a new Detailed Explanation of Non-Coverage, or DENC, with the form number CMS 10124.Providers are required to issue the new combined notices as soon as possible, but no later than May 1, 2012.
For any questions, please contact the CMS mailbox: SNF_LTCODF-L@cms.hhs.gov
Next Open Door Forum: Thursday, April 12, 2012