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 Internet Quality Improvement and Evaluation System (iQIES)/Certification and Survey Provider Enhanced Reports (CASPER) reporting system. For assistance obtaining access to quarterly reports in CASPER, contact the iQIES Help Desk at iqies@cms.hhs.gov. CMS distributes four quarterly reports each year: an Interim Workbook, two Full-Year Workbooks (one each for the baseline period and performance period), and a Performance Score Report.

Interim Workbook:

  • Generally released in March of each year
  • Contains less than a full year of data
  • Contains stay-level information only
  • Contains data that are not considered final

Full-Year Workbooks:

  • Generally released in December (baseline period data) and June (performance period data) of each year
  • Contain a full year of data
  • Contain stay-level and facility-level information (i.e., SNF 30-Day All-Cause Readmission Measure [SNFRM] results)
  • Contain data that are considered final

 Performance Score Report:

  • Generally released in August of each year
  • Contain baseline and performance period SNFRM results, performance score, SNF VBP Program rank, 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’ readmission measure rates. 1
  • Correction requests to the contents of reports containing a full year of data will be accepted for 30 days 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 and correction 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 Program 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 (PHI) or patient identifiable information (PII) to the SNF VBP Program Help Desk. Any disclosure of PHI should only be in accordance with, and to the extent permitted by, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other applicable laws.

Resources

1In the  FY 2022 SNF PPS final rule, CMS finalized a change to the Phase One Review and Correction policy. SNFs are no longer able to correct any of the underlying administrative claims data used to calculate a SNF’s readmission measure rate. Corrections are limited to errors made by CMS or its contractors when calculating a SNF’s readmission measure rate. CMS advises SNFs to follow the established claims correction process to update stay-level information.

Page Last Modified:
08/17/2021 10:11 AM