CMS Issues QRP Non-compliance Notices Impacting FY2023 Payments

CMS Issues QRP Non-compliance Notices Impacting FY2023 Payments

SNF and Hospice providers should check their CASPER folders in QIES to see if they have received a non-compliance notice from CMS related to their CY2021 reporting for their respective Quality Reporting Programs. Providers who are non-compliant will have their Medicare FFS rates reduced 2% beginning October 1, 2022. For providers who contract with Medicare Advantage and Special Needs Plans, this may also impact those rates if their contract pays them based upon a percentage of Medicare FFS. These notices were placed into those folders on Wed., July 13 and include information on why the provider failed compliance. This information can be used to improve reporting processes within your organization. If a provider received a non-compliance notice, they have the opportunity to request reconsideration of this determination based upon limited situations – they believe this is an error or extraordinary circumstances prevented timely submission.

All reconsideration requests must be in by 11:59 p.m. ET on August 11. SNFs can find more information on requesting reconsideration here.

 

Questions?

Contact:

Laura Hofmann, MSN, RN – Director of Clinical and Nursing Facility Regulatory Services
c: 425-231-4804

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July 20, 2022