This final rule updates the payment rates used
under the prospective payment system for skilled nursing
facilities (SNFs) for fiscal year 2012. In addition, it
recalibrates the case-mix indexes so that they more
accurately reflect parity in expenditures between RUG-IV
and the previous case-mix classification system. It also
includes a discussion of a Non-Therapy Ancillary component
currently under development within CMS. In addition, this
final rule discusses the impact of certain provisions of
the Affordable Care Act, and reduces the SNF market basket
percentage by the multi-factor productivity adjustment.
This rule also implements certain changes relating to the payment of group therapy services and implements new
resident assessment policies. Finally, this rule announces
that the proposed provisions regarding the ownership
disclosure requirements set forth in section 6101 of the
Affordable Care Act will be finalized at a later date.
Medicare Program; Prospective Payment System and
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