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Skilled Nursing Facilities
Section 4432(a) of the Balanced Budget Act (BBA) of 1997 modified how payment is made for Medicare skilled nursing facility (SNF) services. Effective with cost reporting periods beginning on or after July 1, 1998, SNFs are no longer paid on a reasonable cost basis or through low volume prospectively determined rates, but rather on the basis of a prospective payment system (PPS). The PPS payment rates are adjusted for case mix and geographic variation in wages and cover all costs of furnishing covered SNF services (routine, ancillary, and capital-related costs).
AHA News
- Mar 20, 2013 | CMS issues final rule implementing ACA long-term care requirement
- Mar 15, 2013 | MedPAC issues March report to Congress
- Feb 08, 2013 | CMS clarifies therapy cap exceptions process for CAHs
- Jan 11, 2013 | MedPAC finalizes 2014 recommendations for post-acute care
- Dec 07, 2012 | MedPAC considers 2014 payments for post-acute care
- Nov 16, 2012 | CMS announces Medicare premiums and deductibles for 2013
- Nov 15, 2012 | OIG: 1 in 4 SNF Medicare claims contain errors
- Nov 05, 2012 | CMS issues blanket waivers for New York, New Jersey areas
- Oct 24, 2012 | Proposed settlement would clarify Medicare maintenance coverage
- Sep 27, 2012 | Organizations to work with nursing homes to reduce hospitalizations
Recent Efforts
- Feb 25, 2013 | Proposed Rule for Burden Reduction Affecting CoPs/CFCs for Hospitals, CAHs and Other Providers
- Nov 05, 2012 | CMS Releases Medicaid, Home Health & ESRD Rules
- Oct 18, 2011 | AHA, Health Organizations Letter to Joint Select Committee on Deficit Reduction Re: Cuts in IRF
- Oct 03, 2011 | Health Organizations to the Joint Select Committee on Deficit Reduction Re: GME
- Sep 01, 2011 | Skilled Nursing Facility PPS: The Final Rule For FY 2012
- Jun 27, 2011 | AHA Comments to CMS Re: FY 2012 Proposed Rule for the SNF Prospective Payment System
- Jul 19, 2010 | AHA Special Bulletin: CMS Issues Post-Acute Payment Updates
- Jan 25, 2010 | 2010 Census: Procedures for Interviewing Patients Who Live in Health Care Facilities
- Sep 04, 2009 | Skilled Nursing Facility PPS: The Final Rule for FY 2010
- Jul 27, 2009 | AHA, Healthcare Coalition Re: FHA's Section 232 Senior Residential and Section 242 Hospital programs
