Webinar
Overview
CMS has announced the initiation of Data Validation audits to validate MDS accuracy for the SNF QRP and SNF VBP Measures. This is a new audit. CMS will randomly request data for 10 claims from 10% of the SNFs in the nation each year beginning this fall. The Help desk has already been set up and is active. SNFs need to know how to know when their records have been requested. The only notification will be through the iQIES system where the notifications will be placed into provider preview report folders. If the SNF does not submit the requested medical records within 45 days of the notice in the iQIES folder, the SNF will lose their 2% annual Payment Update for every claim for the next fiscal year. The webinar will help SNFs to know how often to review the iQIES report and where in iQIES to find the reports. Also, SNFs must submit the individual resident records via PDF without any Social Security Numbers or face sheets.
Instructor
Carol Maher is a Board-Certified Gerontological Registered Nurse with over 30 years of experience in long-term care. Her extensive career includes roles as an MDS Coordinator, Senior Vice President of Utilization Services, and Director of Reimbursement for large, multi-facility organizations.
Carol was selected as one of the Gold Standard Nurses for MDS 3.0, contributing to the development of the Care Area Assessments (CAAs) through the RAP workgroup and serving on numerous Technical Expert Panels focused on MDS, Quality Measures, and care planning. She is a nationally recognized speaker, presenting regularly at AANAC, AHCA, and LeadingAge conferences, as well as for many state-level organizations. Her writing has appeared frequently in publications covering the RAI process and Prospective Payment System (PPS).
Carol served for nine years on the AANAC Board of Directors and currently sits on the AANAC Expert Advisory Panel. She is also an AANAC Master Teacher. As Director of Education at Hansen Hunter & Co., Carol leads MDS and Medicare training sessions nationwide, presents monthly educational webinars, and conducts compliance audits. She is the author of The Long-Term Care MDS Coordinator’s Field Guide (HCPro, 2016).
Credit Hours
- 0.75 NAB hours for Nursing Home Administrators