Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities
medicare · Centers for Medicare and Medicaid Services · Rule · Published 1998-05-12 · Effective 1998-07-01 · 63 FR 26252
Document
Document number
98-12208
Federal Register citation
63 FR 26252
Type
Rule
Action
Interim final rule with comment period.
Category
medicare
Sub-agency
Centers for Medicare and Medicaid Services
Publication date
1998-05-12
Effective date
1998-07-01
HHS docket
HCFA-1913-IFC
Abstract
This interim final rule implements provisions in section 4432 of the Balanced Budget Act of 1997 related to Medicare payment for skilled nursing facility services. These include the implementation of a Medicare prospective payment system for skilled nursing facilities, consolidated billing, and a number of related changes. The prospective payment system described in this rule replaces the retrospective reasonable cost-based system currently utilized by Medicare for payment of skilled nursing facility services under Part A of the program.