Helpful CMS Links and Information
Here are the resources we regularly use. We keep these up-to-date so let us know if we need an update!
Quality and MDS Resources
RAI User Manual
PDF file last updated October 2019
Update HCPCS Codes and Exclusions for SNF Consolidated Billing (CB)
Published May 11, 2021
MLN article- October Quarterly Update to 2021 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated
Billing (CB) Enforcement
New: PDPM ICD-10 Mapping
Effective Date Jan 1, 2021
Scroll to bottom of the page and click on FY 2021 PDPM ICD-10 Mappings (ZIP) (effective 1/1/2021)
Medicare Benefit Policy Manual
PDF file last updated October 2019
Care Compare Five-Star Quality Rating System: Technical Users' Guide
PDF file last updated January 2021
Quality Reporting Program Website
Website with multiple downloads
Quality Measures Users Manual
Updated October 2020
MDS Based and Claims Based Quality Measures
Website with multiple downloads
ICD-10-CM for 2021 website
Website with multiple downloads
Value-Based Purchasing Website
Website with multiple resources and per year Rules
COVID-19 / Coronavirus Resources
Targeted COVID-19 Training for Nursing Homes
Free Trainings include
Module 1: Hand Hygiene and PPE
Module 2: Screening and Surveillance
Module 3: Cleaning the Nursing Home
Module 4: Cohorting
Module 5: Caring for Residents with Dementia in a Pandemic
COVID-19 FAQs on Medicare Fee-for-Service (FFS) Billing
Updated Feb 19,2021
SNF waiver and billing information p.114
FAQ ICD-10 coding for Covid-19
American Hospital Association
Revised August 5, 2020
COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers
Updated April 2021
SNF information on starts on p. 16
NEW: Interim Final Rule Updating Requirements ... in Nursing Homes
Published May 2020
Includes new tags and reporting requirements
Nursing Home Five Star Quality Rating System updates, Nursing Home Staff Counts, and FAQs
Updated April 24, 2020
FAQs follow the memo
COVID-19 Long-Term Care Facility Guidance
Published April 2, 2020
ICD-10 Official Coding Guidance for Coronavirus
Effective Jan 1, 2021
Guidance for Infection Control and Prevention of Coronavirus Disease
Last Updated March 13, 2020
COVID-19 Emergency Declaration Fact Sheet
Published March 13, 2020