Q: Facilities can use either the 10055 form or the CMS SNF denial letters, is that correct?
A: There are different ABNs required for different scenarios. Each of the forms is included in the presentation and handouts. Make sure that you follow the scenario chart to ensure that you use the appropriate form number for each scenario.
Q: Should Form 10055 be used to notify a Medicare beneficiary of the end of skilled services?
When determining how many points each of your Quality Measures (QM) is receiving, the 5-star report is used to compare the facility rating to the specific ranges of the cut point tables for each measure. Each measure has its own cut point table to determine how many points are assigned at each threshold. The higher the number of points, the higher the ranking (between one and five stars for the QM domain overall). This star rating is then compared to the health inspection stars and the staffing stars to determine the final overall facility star rating.
As regulatory and legislative changes continue to reshape care and payment paradigms throughout healthcare, providers need to ensure their core operational and clinical practices are sustainable; a reality confirmed by respondents to a current HCPro feedback survey, who have thus far identified staffing concerns (e.g., education and retention), quality care, and compliance as top SNF priorities for the year ahead.