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May 15th Nursing Home Deadlines

Payroll Based Journal (PBJ) information for the quarter that ended March 31, 2017 must be submitted by Mon., May 15th. Members should keep in mind that once the final data file is uploaded, the facility must check its Final File Validation Report, which can be accessed in its CASPER folder, to verify that the data was successfully submitted. It may take up to 24 hours to receive the validation report, so facilities must allow for time to correct any errors and resubmit, if necessary. The latest information on PBJ is available here.

May 15th is also the last day to submit corrections to MDS assessments to avoid a 2 percent reduction in Medicare Part A rates for homes with incomplete MDS data. As part of the Quality Reporting Program (QRP), the Centers for Medicare and Medicaid Services (CMS) will be calculating quality measures using assessment data for residents admitted to the home on or after Oct. 1, 2016 and discharged through Dec. 31, 2016. While no additional reporting is required, it is important that homes ensure that this MDS data is complete. Providers must submit all data necessary to calculate SNF QRP measures on at least 80% of the MDS assessments submitted to avoid a reduction to their October 2017 Medicare Part A rate. The CMS QRP Quick Reference Guide is available here.

Contact: Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841