According to the Centers for Medicare & Medicaid Services (CMS) Skilled Nursing Facility (SNFs) Prospective Payment System (PPS) final rule for Fiscal Year (FY) 2022, SNFs will see an increase in Medicare Part A payments of approximately $410 million in FY 2022. This estimate reflects at $411 million increase from the update to the payment rates of 1.2%. It is estimated that SNFs would lose around $1.2 million due to the proposed reduction to the SNF PPS rates to account for the recent blood-clotting factors exclusion. It is also important to note that these figures do not incorporate the SNF Value-Based Purchasing Program reductions, which are estimated to be $184.25 million in FY 2022.
The final rule also includes a new methodology for recalibrating the Patient Driven Payment Model (PDPM) parity adjustment. This new payment model would be implemented in a budget neutral manner since the currently available data on the model suggests an unintended increase in payments of approximately 5% or $1.7 billion in FY 2020.
Other policies in the final rule include PDPM ICD-10 code mappings, addition of new quality measures to the SNF Quality Reporting Program, and an expansion of the Value-Based Purchasing Program measure set.
Source: U.S. Centers for Medicare & Medicaid Services (CMS)
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