McKnight's December 24, 2024
Callan Stein, Emma Trivax

The Centers for Medicare & Medicaid Services has introduced significant updates to the long-term care surveyor guidelines, aiming to enhance the quality and oversight of the survey process.

Here, we delve into some of the key changes that will have the greatest impact on facility operations starting in February 2025, when they take effect.

Surveyor referrals to the Office of the Inspector General

One of the updates involves the accuracy of Minimum Data Set assessments. CMS is now instructing surveyors to review MDS coding accuracy, though they are not requiring surveyors to investigate possible falsification.

If, however, a surveyor identifies a pattern of inaccurate MDS coding involving three or more facility residents, CMS dictates that the case should be referred...

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