Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2012

Document ID: CMS-2011-0060-0154
Document Type: Rule
Agency: Centers For Medicare & Medicaid Services
Topics: Health Facilities, Kidney Diseases, Medicare, Reporting and Recordkeeping Requirements
Federal Register Number: 2011-19544
CFR Citation: 42 CFR Part 413
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Details Information

Abstract: 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 casemix 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.
Received Date: August 08 2011, at 12:00 AM Eastern Daylight Time
Start-End Page: 48486 - 48562
Page Count: 77

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