The Centers for Medicare & Medicaid Services (CMS) has many sources of information about LTCH QRP for hospitals and other stakeholders including:
- Training Materials and In-person Training
- Training Question and Answers (Q&As)
- Hospital/Quality Initiative Open Door Forum (ODF) Presentations
- Special Open Door Forum (SODF) Presentations
- CMS Quality Partner/Vendor Workgroup Presentations
This page is organized to be a library of training materials available to LTCHs. Trainings added to this page in the most recent six months will display as *NEW*.
If you have technical questions or feedback regarding the trainings, please email the PAC Training mailbox. Content-related questions should be submitted to the LTCH QRP Help Desk.
Introduction to the LTCH QRP Web-Based Training
CMS is offering a web-based training course for those who are new to the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP). The Introduction to the LTCH QRP course is designed to provide a general overview of the program as well as a variety of links and resources for additional information. Specific topics include:
- Lesson 1: What is the LTCH QRP?
- Lesson 2: The LTCH Continuity Assessment Record & Evaluation (CARE) Data Set (LCDS)
- Lesson 3: LCDS Submission
- Lesson 4: LTCH QRP Resources
From Data Elements to Quality Measures – Cross-Setting QRP Web-Based Training.
CMS is offering a web-based training course that provides a high-level overview of how data elements within CMS patient/resident assessment instruments are used to construct quality measures (QMs) across post-acute care (PAC) settings. The PAC settings included are those covered under the CMS QRPs for Home Health Agencies (HHAs), Inpatient Rehabilitation Facilities (IRFs), LTCHs and Skilled Nursing Facilities (SNFs). Information covered in this 60-minute course will include a short review of the QRPs’ cross-setting QMs, how data elements feed into these cross-setting QMs, how QMs are calculated and appear on QM reports and how to access and use this data for quality improvement.
Achieving a Full APU Webinar Training
A video of the LTCH QRP: Achieving a Full Annual Payment Update (APU) webinar that took place on Thursday, May 27, 2021, is available to view on YouTube at the following link: https://www.youtube.com/watch?v=sm_GXYzlLzw. The training materials are here:
*NEW* RESOURCE AVAILABLE: PHQ-2 to 9 Cue Card
The Centers for Medicare & Medicaid Services (CMS) is offering a cue card to assist providers in coding the Patient Health Questionnaire (PHQ-2 to 9) as referenced in the coding guidance for D0150. This resource is intended to be utilized during the Patient Mood Interview as a supplemental communication tool that provides a visual reference to assist patient selection of symptom frequency. The cue card is offered in two sizes which can be viewed or printed here:
Section GG Training Materials
Section GG 3-Course Training Series
This web-based training series is designed to be used on demand anywhere you can access a browser and includes interactive exercises to test your knowledge related to the assessment and coding of Section GG items. This training series consists of three courses:
- Course 1: Understanding Prior Functioning and Prior Device Use.
- Course 2: GG0130. Self-Care Items.
- Course 3: GG0170. Mobility Items.
Video Tutorials Available to Assist with Coding Specific Section GG Items
These videos, ranging from 4 to 12 minutes, are designed to provide targeted guidance using simulated patient scenarios. To access the videos, click on the links below.
- GG0110. Prior Device Use with Information from Multiple Sources. (3:58)
- GG0130A. Eating. (6:19)
- GG0130B. Oral Hygiene. (4:25)
- Decision Tree for Coding Section GG0130. Self-Care and GG0170. Mobility. (11:56)
Section J Training Materials
Health Conditions: Coding the Standardized Patient Assessment Data Elements Related to Falls
This 45-minute web-based training provides an overview of the assessment and coding of the standardized patient assessment data elements in Section J: Health Conditions and is designed to include interactive exercises to test your knowledge. To access the videos, click the links below.
Section M Training Materials
Assessment and Coding of Pressure Ulcers/Injuries
This 90-minute web-based training provides an overview of the assessment and coding of the standardized patient assessment data elements in Section M: Skin Conditions and is designed to include interactive exercises to test your knowledge. To access the videos, click the links below.
Section N Training Materials
Medications – Drug Regimen Review
This 45-minute web-based training provides an overview of the assessment and coding of the Drug Regimen Review standardized patient assessment data elements to Section N and is designed to be used on demand anywhere you can access a browser. To access the videos, click the links below.
Job Aids
CMS is offering companion job aids to assist providers in the assessment and coding of assessment items. The job aids provide clinically relevant information to assist providers in understanding specific guidelines and clinical considerations that should be applied to coding these items. The job aids are provided in multiple file types designed for printing, viewing, or sharing electronically. An explanation of the file types is provided in the ZIP file.
Job Aids – GG0130A. Eating, GG0130B. Oral Hygiene, GG0130C. Toileting Hygiene.
Pocket Guides / Badge Buddies
CMS is offering Pocket Guides to assist providers in the assessment and coding of assessment items. The pocket guides provide a quick reference for important terms and definitions that promote coding accuracy. These pocket guides are approximately 2 x 3.5 inches in size and are designed to be worn behind a provider identification badge.
Quick Assessment Reference Pocket Guides / Badge Buddies for Coding
- Pocket Guide #1: Coding for Self-Care and Mobility Items (PDF).
- Pocket Guide #2: Definitions for Coding Section J Fall Items (PDF).
LTCH QRP Tip Sheets
The purpose of the tip sheets are to help providers understand the CMS public reporting strategy for the LTCH QRP to account for CMS quality data submissions that were optional and excepted from public reporting due to the COVID-19 public health emergency (PHE). The tip sheets also outline the impact on the CMS’ Care Compare website refreshes.
*NEW*: Third Edition LTCH QRP COVID-19 Public Reporting Tip Sheet
Updates
May 19, 2023
NEW RESOURCE AVAILABLE: J0510-J0530 Pain Interview Explainer Video
The Centers for Medicare & Medicaid Services is offering a 4-minute, animated explainer video, J0510-J0530 Pain Interview: Understanding How a Patient Communicates Pain for LTCH Providers. This video was developed to assist providers in accurately coding the new pain interview items including pain assessment strategies and associated patient communication challenges. This video is now available through the following link: J0510-J0530 Pain Interview Explainer Video.
If you have questions about accessing the resources or feedback regarding the trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the LTCH QRP Help Desk.
March 21, 2023
NEW RESOURCE AVAILABLE: BIMS, PHQ-2 to 9, and Pain Interview Cue Cards
CMS is offering a set of cue cards to assist providers in conducting the Brief Interview for Mental Status (BIMS), the Patient Health Questionnaire (PHQ-2 to 9), and the Pain Interview, as referenced in the LCDS 5.0 coding guidance. This resource is intended to be utilized as a supplemental patient communication tool that provides a visual reference for the coding of response options. More detailed instructions regarding the use of cue cards and the administration of the BIMS in writing can be found in the LCDS 5.0 Manual.
The cue cards are available in the Downloads section below.
If you have questions about accessing the resources or feedback regarding the trainings, please email PAC Training. Content-related questions should be submitted to the LTCH QRP Help Desk.
March 20, 2023
NEW RESOURCE AVAILABLE: Transfer of Health Items Explainer Video
The Centers for Medicare & Medicaid Services is releasing a short, animated explainer video to assist providers in coding A2121. Provision of Current Reconciled Medication List to Subsequent Provider at Discharge and A2123. Provision of Current Reconciled Medication List to Patient at Discharge. To access the video, click on the following link: Transfer of Health Items Explainer Video.
If you have questions about accessing the resources or feedback regarding the trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the LTCH QRP Help Desk.
March 20, 2023
NEW RESOURCES AVAILABLE: GG0170C, GG0170L, and GG0170P Video Tutorials
The Centers for Medicare & Medicaid Services is releasing short video tutorials to providers in the LTCH setting. These 5-minute videos are designed to provide targeted guidance using simulated patient scenarios to assist providers in coding GG0170C. Lying to Sitting on Side of Bed, GG0170L. Walking 10 Feet on Uneven Surfaces, and GG0170P. Picking Up Object. To access the videos, click on the links below:
- GG0170C. Lying to Sitting on Side of Bed.
- GG0170L. Walking 10 Feet on Uneven Surfaces.
- GG0170P. Picking Up Object.
If you have questions about accessing the resources or feedback regarding the trainings, please email PAC Training. Content-related questions should be submitted to the LTCH QRP Help Desk.
September 20, 2022
POST-EVENT MATERIALS AVAILABLE: IRF and LTCH Updated Guidance Virtual Training Program Post-Event Q&A
A Post-Event Q&A document is now available for the Inpatient Rehabilitation Facility (IRF) and Long-Term Care Hospital (LTCH) Updated Guidance Virtual Training Program. This document contains responses to questions asked throughout the training program.
Available Resources: See the PDF “2022_June_IRF-LTCH Virtual Training Program Q&A” in the Downloads section below.
If you have questions about accessing resources or feedback regarding the trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the LTCH QRP Help Desk.
July 18, 2022
POST-EVENT TRAINING MATERIALS AVAILABLE: IRF and LTCH Updated Guidance Virtual Training Program
The Centers for Medicare & Medicaid Services (CMS) is offering a virtual training program that provides instruction on the updated guidance for the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) 4.0 and the Long-Term Care Hospital (LTCH) Continuity Assessment Record & Evaluation (CARE) Data Set (LCDS) 5.0 for providers in the IRF and LTCH settings.
The IRF and LTCH Virtual Training Program consists of two parts:
- Part 1 – Training Webinars: pre-recorded training videos that provide an overview of the new items and updated guidance that are intended to be viewed prior to the Workshop sessions.
- Part 2 – Workshop Sessions: recorded videos of the live, virtual workshop sessions that took place on June 15th and 16th and provide coding practice of the information covered in the Training Webinars.
All recorded sessions are available on CMS YouTube.
Additional training materials are available within ZIP files in the Downloads section below and include:
- PDF versions of the Training Webinars: 2022_June_IRF-LTCH Virtual Training Program Training Webinar Presentations (ZIP).
- PDF versions of the Workshop Sessions: 2022_June_IRF-LTCH Virtual Training Program Workshop Session Presentations (ZIP).
- Supplemental Training Materials: 2022_June_IRF-LTCH Virtual Training Program Supplemental Training Materials (ZIP).
- Materials include an IRF/LTCH Acronym List, Action Plan Worksheet, IRF and LTCH Resource Guides, and Case Study documents.
If you have questions about accessing resources or feedback regarding the trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the LTCH QRP Help Desk.
Downloads
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2023_February_Pain_Interview_Cue_Cards (PDF) -
2023_February_PHQ-2_to_9_Cue_Card.pdf (PDF) -
2023_February_BIMS_Cue_Cards.pdf (PDF) -
2022_June_IRF-LTCH Virtual Training Program Q&A (PDF) -
2022_June_IRF-LTCH Virtual Training Program Workshop Session Presentations (ZIP) -
2022_June_IRF-LTCH Virtual Training Program Training Webinar Presentations (ZIP) -
2022_June_IRF-LTCH Virtual Training Program Supplemental Training Materials (ZIP)