CHA News Article

CMS Proposes Revisions to SNF PPS Case-Mix

The Centers for Medicare & Medicaid Services (CMS) requests comments on the attached advanced notice of proposed rulemaking addressing revisions to the skilled-nursing facility (SNF) prospective payment system (PPS) methodology. Specifically, CMS seeks feedback on replacing the existing case-mix classification model — the Resource Utilization Groups, Version 4  — with a new model, the Resident Classification System, Version I. The proposal is based on recent CMS payment models research and is designed to address concerns that incentives in the current SNF PPS have led to overutilization of therapy services and resulting classification of patients into higher payment categories. Comments are due August 25.    

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