The Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates Medicare hospice payments and the aggregate cap amount for fiscal year (FY) 2022, in accordance with existing statutory and regulatory requirements. This rule rebases the hospice labor shares; clarifies certain aspects of the hospice election statement addendum requirements; finalizes changes to the Hospice Conditions of Participation (CoPs) and Hospice Quality Reporting Program (HQRP); and finalizes a Home Health Quality Reporting Program (HH QRP) policy that becomes effective on October 1, 2021, to prepare for public reporting beginning in January 2022.
Skilled Nursing Facility Prospective Payment System Final Rule For Fiscal Year 2022
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.
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