QRP Penalty Notifications

The Centers for Medicare and Medicaid Services (CMS) is providing notifications to facilities that were determined to be out of compliance with the quality reporting requirements for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP), which will affect their fiscal year (FY) 2020 Medicare Part A rates. Non-compliance notifications are in the process of being sent by the Medicare Administrative Contractors (MACs) and will be placed into facilities’ Certification and Survey Provider Enhanced Reporting (CASPER) folders on the Quality Improvement and Evaluation System (QIES) on July 16, 2019.

Facilities that receive a letter of non-compliance may submit a request for reconsideration to CMS via email no later than Aug. 15, 2019. If you receive a notice of non-compliance and would like to request a reconsideration, see the instructions in your notification letter and on the SNF Quality Reporting Reconsideration and Exception & Extension webpage.

Contact: Susan Chenail, schenail@leadingageny.org, 518-867-8383