Nurse and Patient

The Skilled Nursing Facility Quality Reporting Program (SNF QRP) was one of the five major topics explored during the Skilled Nursing Facility (SNF)/Long-Term Care Open Door Forum (ODF) held by CMS on November 29, 2018. CMS reminded providers that as of October 2018, SNF QRP data is being publicly reported on Nursing Home Compare (NHC). Providers will be notified quarterly via Provider Preview Reports 30 days prior to the public display of SNF QRP data on NHC.

CMS also reminded providers that CORMAC Corporation, a CMS contractor, sends notification via email to SNFs on a quarterly basis when they’re not meeting the Annual Payment Update (APU) thresholds. The notification is sent at the end of each quarter—but before the submission deadline—to allow providers time to review and correct data. CMS stated that of the approximately 15,000 providers nationwide, about 5,000 weren’t registered with CORMAC. If you’re not registered with CORMAC or need to add or change your email address to which these notifications are sent, please email

The email request must contain the following information:

  • SNF CMS Certification Number
  • SNF name
  • SNF business address
  • CEO or CEO-designated personnel contact information, including name, telephone number, email address and mailing address (the address must be a physical address, not a post office box)

Providers must submit 80 percent or more of all Minimum Data Set assessments and report 100 percent of the required data elements to be in compliance with the SNF QRP requirements, or they’ll be subject to the 2 percent reduction in their APU. If a registered provider doesn’t receive an email from CORMAC, then they’re in compliance. CMS stated about 450 SNF providers didn’t meet requirements for the first quarter of 2018.

Other issues addressed on the ODF included validation warning edits put into place in early September. Warning edit -3907 was found to be unhelpful and was retired on November 12. Providers should continue to use warning edit -3891, as it better informs providers of compliance with SNF QRP data. CMS currently doesn’t have a report that displays a provider’s compliance with the APU threshold. The SNF QRP Review and Correct Reports and Quality Measures Reports provide rates of facility performance on each of the QRP measures but don’t reflect the SNF’s compliance. However, these reports are still important, and BKD recommends reviewing them at the end of each quarter.

Fiscal year 2019 is the first year providers are subject to the 2 percent reduction in Medicare reimbursement due to the SNF QRP measures. Those who currently don’t receive the quarterly notification from CORMAC should consider registering, as CORMAC analyzes the SNF QRP data and provides the notifications free of charge.

If you have questions or need assistance in obtaining your SNF QRP reports, contact Suzy or your trusted BKD advisor.

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