CMS Issues Non-Compliance Notices Related to SNF and Hospice Quality Reporting Programs

Regulation | July 15, 2021 | by Nicole Fallon

SNF and Hospice providers who are determined to be out of compliance with their respective Quality Reporting Programs for CY2020 will be receiving notice of this status from CMS. If a provider takes no action, their FY2022 Medicare fee-for-service payments will be reduced by 2%.

The non-compliance notices were distributed by the Medicare Administrative Contractors (MACs) and placed into SNF and Hospice providers CASPER folders in QIES on July 14, 2021. Providers that receive a letter of non-compliance may submit a request for reconsideration to CMS via email no later than 11:59 pm, August 13, 2021.

SNFs may file for reconsideration if they believe the finding of non-compliance is in error, or they have evidence of the impact of extraordinary circumstances which prevented timely submission of data. Hospices that believe the finding of non-compliance is in error or who want to have their circumstances reviewed by CMS must file for a reconsideration request. Details about filing for reconsideration should be included in the non-compliance letter but can also be found here for SNFs and here for Hospice providers.