Tag: payment

CMS Releases SNF PPS Final Rule for FY 2014

On August 1, 2013, the Centers for Medicare & Medicaid Services (CMS) published the final rule for the Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNF) for FY 2014 in the Federal Register. Effective October 1, 2013, this final rule updates the payment rates used under the prospective payment system for SNFs […]

Ask the expert: Therapy billing

Q: We did an M5/d/c/SOT on a resident that was admitted on 3/6 and discharged on 3/7. All therapies were treated on the last day. Here is some more information: ADL RUG IV score: 3 PT: 60 min OT: 60 min ST: 25 min Total: 145 min We submitted and then received fatal error ID […]

2014 SNF Proposed Rule Analysis: Payment changes breakdown

The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule that would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for 2014. CMS estimates that aggregate payments to SNFs will increase by $500 million, or 1.4 percent, from payments in 2013. This is based […]

Payment rate changes: How will 2014 compare to this year?

On Wednesday, CMS released a proposed rule that would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for 2014. According to CMS, aggregate payments to SNFs will increase by $500 million, or 1.4 percent, from payments in 2013. This estimated increase is attributable to the 2.3 percent […]

CMS Releases Proposed Rule Featuring Payment Updates for 2014

The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule that would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for 2014 and would revise and rebase the SNF market basket. This proposed rule also includes a proposed policy for reporting the SNF market […]

Digging in deeper: MedPAC report’s SNF findings

On March 15, the Medicare Payment Advisory Commission (MedPAC) issued its annual report to Congress. In the report, MedPAC addresses the SNF PPS in Chapter 8. MedPAC states that most indicators of payment adequacy for SNFs are positive. Here are some findings published in the report: Access to SNF services remains stable for most beneficiaries. […]