2021 Skilled Nursing Facilities Prospective Payment System CMS Proposed Rule

On April 15, 2020, Centers for Medicare and Medicaid Services (CMS) issued a proposed rule for Medicare Program; Prospective Payment System (PPS) and Consolidated Billing for Skilled Nursing Facilities (SNFs); Updates to the Value-Based Purchasing (VBP) Program for Federal Fiscal Year 2021. The proposed rule includes proposed changes to the case-mix classification mappings of ICD-10 codes under SNF PPS, to the wage index, to the Patient Driven Payment Model (PDPM) unadjusted federal rate component, as well as updated statistical area delineations, insignificant changes to SNF VBP, and more. Some noteworthy proposed changes are provided in the whitepaper below:
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