Each of these QMs will be derived from submitted MDS data only. In order to accurately calculate these measures for Medicare Part A residents, CMS will be implementing changes to the current MDS 3.0 on 10/1/2016. Primarily SNF providers will see two significant changes:
Each of these two new MDS 3.0 developments will be discussed further in future segments of this QRP learning series.
Since CMS will be relying on self-reported MDS data to accurately calculate each of these QMs, it will be important for SNFs to ensure that all data necessary to calculate these measures are submitted to the QIES ASAP system. CMS has finalized a provision of the QRP that will financially penalize SNFs who fail to submit the necessary MDS data, for each of the QRP QMs, on at least 80% of the MDS assessments submitted. This financial penalty will consist of a 2% reduction in the FY2018 market basket for SNF PPS payments.