Skilled Nursing Facility PPS

Skilled nursing facilities are a vital part of the care continuum focusing on patients requiring nursing and therapy services following a three-day or longer stay in a general acute-care hospital. The Medicare program pays for SNF services through a prospective payment system, with per diem payments set according to a patient's utilization of therapy and nursing services.

Read on for more information and resources on payment and quality issues facing the SNF field. Of particular interest in 2017 is CMS's new SNF payment approach, the resident classification system-1, that the agency plans to, in the future, propose as a replacement for the existing payment system. Below are several resources on this new approach, called RCS-1, including a June 2017 comment letter to CMS and a August 2017 Regulatory Advisory.

CMS, OIG, and Other Agency Resources

  Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries, Office of the Inspector General (March 3, 2014) A recent OIG report examined potentially avoidable adverse events at SNFs as part of a series of studies about hospital adverse eve...

Scanning the Headlines: Skilled Nursing Facility (SNF) PPS

Updated on August 15, 2017 Links to full-text articles are provided where available. For information on obtaining print copies of articles, please call the AHA Resource Center at (312) 422-2050. Cheney, C. (2017, July 24). Post-acute SNF care a source of wasteful healthcare spending,...

Related Resources

Letter
Public
The AHA appreciates the extensive work CMS has done to develop and alternative to the current SNF case-mix system. However, our evaluation of the patient-…
Webinar Recordings
Member
The Centers for Medicare & Medicaid Services recently released the FY 2019 proposed rules for long-term care hospitals, inpatient rehabilitatio
Advisory
Member
On May 8, the Centers for Medicare…
Special Bulletin
Member
The CMS April 27 issued proposed rules for the inpatient rehabilitation facility and skilled-nursing facility prospective payment systems for fiscal year 2019.
Letter
AHA comments to provide feedback on the work that the Centers for Medicare & Medicaid Services (CMS) and the Assistant Secretary for Planning a
Advocacy Webinar Recording
Member