Confidential Feedback Reporting & Review and Corrections

Since October 2016, CMS has provided SNFs with quarterly confidential feedback reports. These reports contain information about SNFs’ performance on the readmission measure specified for the SNF VBP Program. Quarterly reports are distributed to SNFs via the Quality Improvement and Evaluation System (QIES)/Certification and Survey Provider Enhanced Reports (CASPER) reporting system. CMS distributes four quarterly reports each year: Interim Workbooks, Full-Year Workbooks, and one Performance Score Report.

Interim Workbooks:

  • Contain less than a full year of data
  • Contain stay-level information only
  • Contain data that are not considered final

Full-Year Workbooks:

  • Contain a full year of data
  • Contain stay-level and facility-level information (i.e., SNF 30-Day All-Cause Readmission Measure [SNFRM] score)
  • Contain data that are considered final

 Performance Score Report:

  • Generally released in August of each year
  • Contain SNFRM score, performance score, and incentive payment multiplier impacting the upcoming payment year

 Review and Corrections

 SNF VBP Review and Correct has two phases, as detailed below.

 Phase One:

  • This phase is limited to review and correction of SNFs’ quality measure information.
  • Correction requests to the contents of reports containing a full year of data will be accepted until March 31 following the report’s release.1
  • CMS will review the requests and notify the requesting SNF of the final decision.

 Phase Two:

  • This phase is limited to review of SNFs’ performance scores and rankings.
  • Correction requests to the Performance Score Report will be accepted for 30 days following the report’s release.
  • CMS will review the requests and notify the requesting SNF of the final decision.

If SNFs would like to correct the data included in their confidential feedback reports, they must submit correction requests to the SNF VBP Help Desk at SNFVBP@rti.org. The request must contain the SNF’s CMS Certification Number (CCN) and reason for requesting the correction. If applicable, SNFs should also submit the line number (located in the leftmost column of the Eligible Stays tab of the report) of the stay in question.

Do NOT submit protected health information (i.e., Medicare IDs or Resident Name) to the SNF VBP Help Desk.

Resources

1In the FY 2020 SNF PPS Proposed Rule, available in the “Resources” section of this web site, CMS proposed a change to this policy. If this policy is finalized, Phase One correction requests to reports containing a full year of data will be accepted for 30 days following the report’s release.

Page Last Modified:
10/03/2019 12:16 PM