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.