tci Medicare Compliance & Reimbursement - 2021 Issue Q2

Reimbursement: Get Ready for These FY 2022 SNF Proposals

The numbers are in on PDPM, and CMS is realizing its bets were off. Medicare policy turnarounds have abounded over the last year for skilled nursing facilities (SNFs). So, you shouldn’t be shocked that the 2022 proposed rule for SNFs holds several surprises. Background: The fiscal year (FY) 2022 proposed rule affects Medicare payment policies and rates under the SNF prospective payment system (PPS), but also includes proposals for the quality reporting program (QRP) and the SNF value-based program (VBP). One major takeaway: The Centers for Medicare & Medicaid Services (CMS) underestimated the costs to SNFs for providing...

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