Fact Sheet | Payment Reimbursement and Managed Care

FY 2022 Skilled Nursing Facilities Proposed Rule Summary

Fact Sheet | Payment Reimbursement and Managed Care

FY 2022 Skilled Nursing Facilities Proposed Rule Summary

On April 8, 2021, CMS issued a proposed rule updating for fiscal year (FY) 2022 the Medicare skilled nursing facility (SNF) payment rates, SNF Quality Reporting Program (QRP) and the SNF Value-Based Purchasing Program (VBP). It will be published in the Federal Register on April 15, 2021. The proposed rule would update the federal per diem rates under the SNF Prospective Payment System by 1.3 percent; modify the ICD-10 code mappings for patient classification; and make updates to the SNF QRP and SNF VBP Programs. No changes are proposed to the Patient Driven Payment Model (PDPM) patient classification system. CMS also discusses a methodology to recalibrate the PDPM budget neutrality adjustment (referred to as a parity adjustment).

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