NOW AVAILABLE IN QIES – Preview Reports for the November 2022 Refresh (SNF)
Providers can now access the latest Provider Preview Reports via the Certification and Survey Provider Enhanced Reports (CASPER) application. Once released in CASPER, providers will have 30 days during which to review their quality measure results. Although the actual “preview period” is 30 days, the reports will continue to be available for another 30 days, or a total of 60 days. The preview period for the latest Provider Preview Report lasts from August 17, 2022 to September 16, 2022. CMS encourages providers to download and save their Hospice Provider Preview Reports for future reference, as they will no longer be available in CASPER after this 60-day period.
Learn more about the Provider Preview Report (HIS and Claims-based measures) here and about the CAHPS Preview Report here. Hospice QRP Key Dates for Providers can be found here.
§483.15 – Admission, Transfer, and Discharge (SNF)
The Centers for Medicare and Medicaid Services (CMS) made changes to the §483.15-Admission, Transfer, and Discharge guidance. Changes include the following citations:
- F622-Transfer and Discharge Requirements. CMS provided clarification language for situations involving discharge from short-term rehabilitation, when Medicare coverage ends but the resident still needs long-term care, assisting residents to apply for Medicaid and explanation for denials, emergent transfers to acute care, and permitting return to nursing home.
- F623-Notice Requirements Before Transfer/Discharge. CMS provided clarification on the components the transfer or discharge notice should contain and that a new notice would be required if a change in destination occurs.
- F626-Permitting Residents to Return to Facility. CMS provided clarification that the requirement to permit residents to return after hospitalization or therapeutic leave applies to all residents regardless of payment source. CMS added language to investigative procedure to help surveyors investigate situations where a facility does not permit a resident return as well as added a deficiency categorization example to show harm from a facility not permitting a resident to return after a hospitalization.
For all three citations, CMS added language that addresses against medical advice discharges.
Detailed information can be found in the Appendix PP-State Operations Manual. AHCA has also provided a §483.15(c)(1) Planning Tool.