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

Advisory
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On April 10, the Centers for Medicare & Medicaid Services (CMS) issued its fiscal year (FY) 2021 proposed rule for the skilled nursing facility (SNF)…
Special Bulletin
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The Centers for Medicare & Medicaid Services April 10 issued the proposed rule for the skilled nursing facility (SNF) prospective payment system for fiscal…
Advisory
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The Centers for Medicare & Medicaid Services (CMS) Sept. 30 published a final rule to modify the discharge planning process requirements for hospitals and…
Presentation Resource
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Advisory
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The Centers for Medicare & Medicaid Services (CMS) July 30 issued its fiscal year (FY) 2020 final rule for the skilled nursing facility (SNF) prospective…
Special Bulletin
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The Centers for Medicare & Medicaid Services (CMS) July 30 issued the skilled nursing facility (SNF) prospective payment system (PPS) final rule for fiscal…