MDS Items O0600 (Physician Examinations) and O0700 (Physician Orders)

As of 10-1-17, Version 1.15 of the RAI Manual went into effect. The RAI Manual now states CMS does not require completion of items O0600 or O0700, however, some States continue to require the completion of these items. The RAI Manual states if the State does not require the completion of these items, use the standard “no information” code (a dash, “–”).

Missouri does not require completion of items O0600 and O0700; staff in Missouri facilities may dash these items as the RAI Manual directs.

If you have any questions concerning this information, please contact Stacey Bryan, the State RAI Coordinator, at 573-751-6308 or Stacey.Bryan@health.mo.gov.

SNF QRP Confidential Feedback Reports for Claims-Based Measures

The SNF QRP Confidential Feedback Reports containing the claims-based IMPACT Act measures are now available via the CASPER Reporting System.

For more information on these reports, please refer to the September 28, 2017 presentation and audio and transcript on the SNF QRP Training website.

Please note that these reports only contain information for the following claims-based quality measures:

• Total Estimated Medicare Spending Per Beneficiary Measure
• Discharge to Community-Post Acute Care– SNF QRP
• Potentially Preventable 30-Day Post Discharge Readmission Measure

The full Confidential Feedback Reports or Quality Measure reports containing all SNF QRP quality measures (claims-based and assessment-based) will be released later this year and further training will be forthcoming.

If you have questions about the information contained in your report, please contact the SNF QRP Help Desk at SNFQualityQuestions@cms.hhs.gov.

Update: SNF QRP Review and Correct Reports & Confidential Feedback Reports Issues

We recently SNF providers that all data for assessment-based measures required for the SNF QRP in CY2017 would remain open to modifications until May 15, 2018, and that you would be notified when the Q1 2017 data that was “frozen” as of August 15, 2017 would be open and subject to updates again.

Please be advised that the submission deadline for Q3 2017 data has been modified to May 15, 2018. The SNF Review and Correct Report has been updated to reflect that both Q1 and Q2 2017 are “Open”. Data for all measures for Q1 2017 have been recalculated for any assessment records that have been received since the original Q1 2017 submission deadline of August 15, 2017.

The SNF Review and Correct report is available in the SNF Quality Reporting Program report category in the CASPER Reporting application. Providers are encouraged to request the report to view updated measure results. The updated report should replace versions of the report previously requested.

Note that when the report is run for more than one quarter, the Reporting Quarters are now displaying in random order, rather than being displayed in descending order (newest Reporting Quarter to oldest Reporting Quarter). The Start and End Dates, Data Correction Deadline Date, Date Correction Period as of Report Run Date and the quality measure data results associated to the Reporting Quarters are all correct. The issue is simply the way in which the Reporting Quarters are displayed in the table. This will be corrected in early December.

The remaining issue, affecting the calculation of the Application of Percent of LTCH Patients with Admission and Discharge Functional Assessment and a Care Plan that Addresses Function, is still being corrected and tested. You will be notified once this issue has been resolved in early December. At that time, the data for this measure will be recalculated and the updated results will be available on the Review and Correct Report.

View previous updates on the SNF Quality Reporting Program Data Submission Deadlines webpage.

If you have questions concerning this information, please contact the QTSO Help Desk at help@qtso.com or 1 (800) 339-9313.