MDS Data Elements Used for FY 2025 SNF QRP APU Determination outlines which items if dashed may result in a two (2) percentage point reduction in the SNF’s APU.”

“The Centers for Medicare & Medicaid Services’ (CMS) Skilled Nursing Facility Quality Reporting Program (SNF QRP) requires SNFs to submit quality measure and standardized resident assessment data elements to CMS. For a given data submission period, the Minimum Data Set (MDS) assessments submitted by a SNF must meet the Annual Payment Update (APU) minimum data completion threshold of no less than 80 percent of the MDS assessments having 100 percent completion of the required SNF QRP data elements. These are the standardized patient assessment data elements and the data elements needed to calculate the SNF QRP quality measures. Successful assessment completion means that the assessment does not contain non-informative responses, i.e., “dash” (–) for required data elements. Please note that while the coding of a “dash” is an optional response value for many of the data elements listed in this table, its use does not count toward meeting the APU minimum data completion threshold. Failure to meet the minimum threshold may result in a two (2) percentage point reduction in the SNF’s APU.”

https://www.cms.gov/files/document/fy-2025-snf-qrp-apu-table-reporting-assessment-based-measures-and-standardized-patient-assessment.pdf

The information presented is informative and does not constitute direct legal or regulatory advice

September 2024\Skilled Nursing Support\maria.messina@skillednursingsupport.com

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