Quality Reporting Audits: Coming Soon to a SNF Near You!
Date/Time
Date(s) - 01/15/26
2:45 pm - 4:15 pm
Categories No Categories
Presented for the New England Alliance 2026 Winter Conference
CMS has officially launched the new SNF QRP Validation Program, and administrators are beginning to see how this next-level audit process can impact both compliance and the bottom line. Unlike past reviews, this validation process scrutinizes MDS accuracy and supporting documentation to confirm data integrity, and findings can directly influence a facility’s compliance standing. Noncompliance, even in coding or documentation, can trigger up to a 2% reduction in next year’s Annual Payment Update, making preparation critical.
This session will explore what’s new in the QRP validation process, highlight emerging audit trends and key risk areas from 2025, and preview upcoming changes to both QRP and the SNF Value-Based Purchasing Program (VBP) that will affect reporting and reimbursement in 2026. Learn practical strategies to strengthen documentation, align staff workflows, and leverage facility data to safeguard revenue and performance metrics. Leave ready to ensure your facility is both audit-ready and financially protected in the new year.
- Identify key trends from the new SNF QRP validation process and VBP audits that could impact compliance and reimbursement.
- Assess facility documentation and MDS processes to strengthen data accuracy and reduce financial risk under CMS validation review.
- Apply operational strategies to protect revenue, optimize performance metrics, and ensure readiness for QRP and VBP audits.
- Implement practical steps to align staff workflows and internal processes with CMS expectations to maintain compliance through the validation process.
