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Payment and Policy Changes for Medicare Skilled Nursing Facilities

Aug 03 2020

For Fiscal Year 2021, Centers for Medicare and Medicaid Services (CMS) issued a final rule [CMS-1737-F], which updates the Medicare payment rates and value-based purchasing program for skilled nursing facilities (SNFs).

There are several major changes to the SNF payment policy.

  • CMS projects that aggregate Medicare program payments to SNFs will increase by $750 million or 2.2%, for FY 2021 compared to FY 2020
  • CMS’ PDPM finalizes ICD-10 code mappings, effective October 1, 2020
  • CMS finalizes updates to the SNF VBP Program regulation text at 42 CFR § 413.338 so that it reflects previously finalized policies and is also updating the 30-day Phase One Review and Correction Deadline for the baseline period quality measure quarterly report.
  • CMS announced performance periods and performance standards for the FY 2023 SNF VBP Program year

If you have any questions or concerns regarding these changes, please do not hesitate to contact us.

Written by Stotler Hayes · Categorized: General Updates

Stotler Hayes Group, LLC is a national, boutique law firm focused on optimizing recovery for health care providers through Medicaid, Medicare, private collections, training and education. Our attorneys are licensed in, and represent clients before, federal and state courts and agencies in a majority of states around the country.

In the handful of states where Stotler Hayes Group, LLC does not employ a full-time attorney, referrals are made to local counsel, many of whom we have developed close working relationships with over the years. In those cases, our firm works with local counsel throughout the pendency of the case.

Stotler Hayes Group, LLC,

Principal Office: Pawley’s Island, SC, Phone: 843-235-9871; Fax: 888-497-7390; email: info@stotlerhayes.com

This website is for informational purposes only. Please remember that every case is different. Any result we achieve for one client in one matter does not necessarily indicate similar results can be obtained for other clients.

The attorney responsible for the content of this website is Andrea Kirksey, Esq., Executive Director and General Counsel for Stotler Hayes Group, LLC, 297 Willbrook Boulevard,  Pawley’s Island, South Carolina.

She may be contacted at (843) 235-9871, ext. 1002 or at akirksey@stotlerhayes.com.

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