Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2012
medicare · Centers for Medicare and Medicaid Services · Rule · Published 2011-08-08 · Effective 2011-10-01 · 76 FR 48486
Document
Document number
2011-19544
Federal Register citation
76 FR 48486
CFR reference
42 CFR 413
Type
Rule
Action
Final rule.
Category
medicare
Sub-agency
Centers for Medicare and Medicaid Services
Publication date
2011-08-08
Effective date
2011-10-01
HHS docket
CMS-1351-F
Abstract
This final rule updates the payment rates used under the prospective payment system for skilled nursing facilities (SNFs) for fiscal year 2012. In addition, it recalibrates the case-mix indexes so that they more accurately reflect parity in expenditures between RUG-IV and the previous case-mix classification system. It also includes a discussion of a Non-Therapy Ancillary component currently under development within CMS. In addition, this final rule discusses the impact of certain provisions of the Affordable Care Act, and reduces the SNF market basket percentage by the multi-factor productivity adjustment. This rule also implements certain changes relating to the payment of group therapy services and implements new resident assessment policies. Finally, this rule announces that the proposed provisions regarding the ownership disclosure requirements set forth in section 6101 of the Affordable Care Act will be finalized at a later date.