CMS Antipsychotic QM - Part 2 - Steps For Safer Antipsychotic Use

We map a systems approach to antipsychotic use in nursing homes, from admission screening to documentation, coding, and survey readiness. Our goal is a practical stewardship model that protects residents, preserves data integrity, and withstands CMS scrutiny.

• facility assessment confirming behavioral health capacity
• pre-admission screening and verified diagnoses
• CMS exclusions and how to document them
• pharmacy reconciliation and indication clarity
• ordered vs administered tracking with exception flags
• alignment of claims, MDS, and ICD coding
• nonpharmacologic strategies and target behavior tracking
• gradual dose reduction considerations for long-stay residents
• hospice-related use and how to explain it
• education plans for nurses, providers, and billing
• antipsychotic stewardship led by the compliance committee
• escalation to psychiatric and neurocognitive specialists

Please feel free to reach out to Verity Consulting at VerityTeam.com if you'd like further assistance with your healthcare compliance needs