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
SNF Consolidated Billing | CMS
SNF Consolidated billing information with 2022 updates
PDPM ICD-10 Mapping
Last updated July 29, 2022
Medicare Benefit Policy Manual
PDF file last updated August 6, 2021
Care Compare Five-Star Quality Rating System: Technical Users' Guide
PDF file last updated April 2022
Quality Reporting Program Website
Website with multiple downloads
Quality Measures Users Manual
Updated January 2022
MDS Based and Claims Based Quality Measures
Last updated January 2022
2023 ICD-10-CM webpage
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 : February 28, 2022
SNF waiver and billing information p.123
FAQ ICD-10 coding for Covid-19
American Hospital Association
Updated April 21, 2022
Update to COVID-19 Emergency Declaration Blanket Waivers for Specific Providers
Updated April 7, 2022
SNF information on starts on p. 16
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 Dec 4, 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