SNF Reimbursement Changes

17Dec09

The House bill contains a number of changes to the way skilled nursing facilities (SNFs) are reimbursed by Medicare, most of which do not appear in the Senate bill.

If you aren’t involved in operating a skilled nursing facility, give this post a miss.  It’s pretty technical.

The changes involve the following topics.  You’ll find the details of each of them here.

  • Market basket updates
  • RUG case-mix recalibration adjustment
  • New case-mix classification system
  • New outlier adjustments
  • Part D billing requirement for pharmacies affiliated with long-term care facilities
  • Separate billing for clinical social worker services


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