# Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities
> **Centers for Medicare and Medicaid Services** · Interim final rule with comment period. · Published 1998-05-12 · Effective 1998-07-01 · 63 FR 26252
## Document
- **Document number:** 98-12208
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 63 FR 26252
- **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.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/1998/05/12/98-12208/medicare-program-prospective-payment-system-and-consolidated-billing-for-skilled-nursing-facilities)
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