January 18, 2026
CMS - Adjusting QM for Antipsychotic Drugs
https://www.cms.gov/files/document/qso-23-05-nh-adjusting-quality-measure-ratings-based-erroneous-schizophrenia-coding-and-posting.pdf
“OIG recommendations, which aim to prevent fraud and promote efficiency in federal programs, should be treated like rules, according to Alicia Cantinieri, managing director of clinical reimbursement and regulatory compliance at Zimmet Healthcare. She outlined features of a more airtight compliance program for nursing homes that meets CMS requirements while incorporating OIG guidance during a webinar.”
https://www.cms.gov/files/document/qso-23-05-nh-adjusting-quality-measure-ratings-based-erroneous-schizophrenia-coding-and-posting.pdf