AAPACN

#SNFODF SNF VBP MDS validation process proposed would be overseen by a contracted agency, not the MAC #AAPACN

#SNFODF iQIES User interface had limited cababilities and due to low use will be sunset as of Oct. 1, 2025.#AAPACN

#SNFODF iQIES User Interface will no longer be updated as of Oct. 1, 2025! Providers must use third party vendor for MDS completion and submission. Begin reasearching your needs now.#AAPACN

#SNFODF Draft MDS Techinical specifications for v.1.19.1 effective Oct. 1, 2024. Stakeholder call to be held April 11, 2024. #AAPACN

#SNFODF SNF QRP Acheiveing Full APU Slides available. Recording is coming. #AAPACN

#SNFODF CMS official state new social determinants of health starting Oct. 1, 2025 to collect information on living situations, food, and utilities for the SNF QRP.#AAPACN

#SNFODF CMS official state they are considering changes to the Non-Therapy Ancillary component of PDPM in future payment years – The FY 2025 Proposed Rule includes a “request for information” for comments regarding these considerations. #AAPACN

#SNFODF CMS officials state that proposed rule increases Medicare payment rates for FY 2025 approximately 4.1% or $1.3 billion.

Q - Data Spec posted 9/21 - now there are errors noted when submitting, iQIES provided clarity - will there be updated technical specs? A - If issues are noted erratas will be posted

John Kane refers Chapter 6 claims processing manual section 30.1 to address how to bill discrepancy in HIPPS from EHR and IQIES, MCPM states HIPPS on iQIES report would be billed

CMS cannot speak to a private arrangement between facilities and Medicare Advantage plans and what they require

Q - Swing beds previously used j-RAVEN to complete PPS assessments for Medicare Part C but not submit. What must they do now? Get 3rd party software? Complete on paper and manually calculate HIPPS? Is there any tool to assist with the calculation? A - CMS can only speak to Med A

Q - Could you explain the SNFPPS updates - Is that is what is posted on the CMS site? A - What is on the website currently is correct

CMS states in SNF ODF chat that all Q and A will be compiled and put into a Q and A document

Q - Specific benefit period billing question with PHE. A - John Kane refers them directly to the MAC.

Follow up - If a modification is completed on an MDS 10/1 - 10/31 after the November file update, those Respiratory therapy questions will have to be answered as well in addition to any other modifications made.

Q - MDS submission file update to be applied in November re Respiratory therapy coding issues retro active to Oct. 1 - does this mean when we complete an assessment now, can we modify after Nov. update to properly calculate? A - Yes, you will be able to go back and modify

Q - Can we have someone available to answer these questions live on the next call please? A - yes we try to represent all areas, but a planned person was sick and will try to have this in the future