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Skilled Nursing Facilities/Long-Term Care Open Door Forum

Overview: 

The Skilled Nursing Facilities / Long-Term Care Open Door Forum (ODF) addresses the concerns and issues of both the Medicare SNF, the Medicaid NF, and the nursing home industry generally. The types of issues that come up during this forum are often related to the Minimum Data Set, SNF Consolidated Billing, the roles and responsibilities of different SNF, NF or LTC professional staff under CMS regulations, clarifications of issues that are covered during a survey and certification process, and the many rules and requirements under which different related services can be payable. Timely announcements and clarifications regarding important rulemaking, quality program initiatives, and other related areas are also included in the forums.

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**Updated November 26, 2018- The proposed agenda for the next Skilled Nursing Facilities/Long Term Care Open Door Forum is scheduled for Thursday, November 29, 2018 from 2pm-3pmET is as follows: Announcements & Updates: Patient Driven Payment Model Update [https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/PDPM.html , PDPM@cms.hhs.gov , MLN – National Provider Call (Tuesday, December 11, 2018)]; PBJ Update (For questions related to software or technical requirements, please email NursingHomePBJTechIssues@cms.hhs.gov, For questions related to PBJ policies, please email NHstaffing@cms.hhs.gov); SNF VBP FY 2019 status update (SNF VBP helpdesk: snfvbpinquiries@cms.hhs.gov, SNF VBP cms.gov website: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/Other-VBPs/SNF-VBP.html, QIES Help Desk: help@qtso.com), SNF QRP Updates (SNF QRP data is now publicly reported on Nursing Home Compare. For questions regarding public reporting please email SNFQRPPRQuestions@cms.hhs.gov, Outreach regarding APU compliance is available, please email QRPHelp@cormac-corp.com); Civil Money Penalty Reinvestment Program- Offers tools, ongoing assistance to nursing home staff (https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/LTC-CMP-Reinvestment.html). This agenda is subject to change. If you wish to participate, dial 1-800-837-1935, Conference ID 35546657. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.

**Updated: July 24, 2018 - Special Open Door Forum (SODF): Non-Emergency Ambulance Transportation (NEAT) Templates and Clinical Data Elements (CDEs), Thursday, July 26, 2018 from 2:00-3:00pm Eastern Time. This SODF will allow physicians, provider and supplier professional associations, and/or all other interested parties to provide feedback on the draft Templates and CDEs for NEAT services that are posted on the CMS.gov website. The printable clinical templates and suggested CDEs describe the data elements that CMS believes would be useful in supporting the documentation requirements for coverage of scheduled and repetitive NEAT services, as follows: 1. Order / Physician Certification Statement (PCS) 2. Progress Note 3. Prior Authorization (PA) Request. The NEAT Templates and CDEs will be available on the CMS.gov website just prior to the SODF, and can be accessed through the link below: https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/Electronic-Clinical-Templates/Other-Benefit-Templates/Other-Templates-Non-Emergency-Ambulance-Transportation.html. Providers and IT vendors can choose whether or not to use the printable clinical templates and/or the suggested CDEs. The suggested CDEs aren't a form, but a tool that IT vendors can integrate into electronic health record (EHR) systems to create prompts to assist providers with their medical record documentation for Medicare purposes. The templates and CDEs are intended to be a helpful guide, but every section may not apply to all types of patients’ services. Providers can choose the information or CDEs that do apply. Once completed by the physician or other practitioner, the resulting documentation would become part of the medical record. To better assist providers in medical record documentation, for Medicare Fee for Service purposes, CMS has developed lists of clinical elements within a printable clinical template. This development will allow EHR vendors to create prompts to assist the practitioner when documenting. These Templates and CDEs for NEAT services are some of the many on the list of topics posted on our website. Feedback and questions on our drafts can be sent to: clinicaltemplates@cms.hhs.gov. We look forward to your participation. If you wish to participate, dial: 1-(888)-989-4575 & Conference ID: 3068545. Please see the Downloads section below for the full call announcement. We look forward to your participation. Thank you for your continued interest in the CMS Open Door Forums.

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