Navigating health reform
2020 Skilled Nursing Facility PDPM PPS Rate Calculator Now Available
On July 31, 2019, the Centers for Medicare and Medicaid Services (CMS) released the fiscal year 2020 (FY20) Medicare Skilled Nursing Facility (SNF) final rule.
The final rule updates the Quality Reporting Program and the SNF Value-Based Purchasing Program, and finalizes the Patient-Driven Payment Model (PDPM), as finalized in last year's 2019 final SNF rule. The rule also updates the FY20 payment rates for the SNF Prospective Payment System (PPS).
CMS projects that payments to SNFs will increase by $851 million in FY20 under this new rule. CMS also finalized a sub-regulatory process for updating ICD-10-CM codes used for PDPM patient classification.
Similar to the SNF RUGs PPS calculator, you can now use CLA’s FY20 SNF Medicare PDPM PPS Rate Calculator to determine your facility’s rates.Download the Calculator
How we can help
CLA can assist you with PDPM readiness assessments, training of clinical, coding, and management staff, and therapy contract renewals.