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RuleSignificant2013-187762013-08-06

Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2014

Health and Human Services Department, Centers for Medicare & Medicaid Services

Abstract

This final rule updates the payment rates used under the prospective payment system for skilled nursing facilities (SNFs) for fiscal year (FY) 2014. In addition, it revises and rebases the SNF market basket, revises and updates the labor related share, and makes certain technical and conforming revisions in the regulations text. This final rule also includes a policy for reporting the SNF market basket forecast error in certain limited circumstances and adds a new item to the Minimum Data Set (MDS), Version 3.0 for reporting the number of distinct therapy days. Finally, this final rule adopts a change to the diagnosis code used to determine which residents will receive the AIDS add-on payment, effective for services provided on or after the October 1, 2014 implementation date for conversion to ICD-10- CM.

Action & Dates

Action
Final rule.
Dates
Effective Date: This final rule is effective on October 1, 2013.
Effective Date
2013-10-01

CFR References

Topics

Emergency medical servicesHealth facilitiesHealth professionsKidney diseasesMedicareReporting and recordkeeping requirements

Document Excerpt

Document Headings Document headings vary by document type but may contain the following: the agency or agencies that issued and signed a document the number of the CFR title and the number of each part the document amends, proposes to amend, or is directly related to the agency docket number / agency internal file number the RIN which identifies each regulatory action listed in the Unified Agenda of Federal Regulatory and Deregulatory Actions See the Document Drafting Handbook for more details. Department of Health and Human Services Centers for Medicare & Medicaid Services 42 CFR Parts 413 and 424 [CMS-1446-F] RIN 0938-AR65 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Final rule. SUMMARY: This final rule updates the payment rates used under the prospective payment system for skilled nursing facilities (SNFs) for fiscal year (FY) 2014. In addition, it revises and rebases the SNF market basket, revises and updates the labor related share, and makes certain technical and conforming revisions in the regulations text. This final rule also includes a policy for reporting the SNF market basket forecast error in certain limited circumstances and adds a new item to the Minimum Data Set (MDS), Version 3.0 for reporting the number of distinct therapy days. Finally, this final rule adopts a change to the diagnosis code used to determine which residents will receive the AIDS add-on payment, effective for services provided on or after the October 1, 2014 implementation date for conversion to ICD-10-CM. DATES: Effective Date: This final rule is effective on October 1, 2013. FOR FURTHER INFORMATION CONTACT: Penny Gershman, (410) 786-6643, for information related to clinical issues. John Kane, (410) 786-0557, for information related to the development of the payment rates and case-mix indexes. Kia Sidbury, (410) 786-7816, for information related to the wage index. Bill Ullman, (410) 786-5667, for information related to level of care determinations, c

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Full Document

Citation: 78 FR 47936

Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2014 — Federal Register 2013-18776 | Open Gov by Base