2017/18 SNF PPS Rates to be Revised

Carl J. Pucci in Finance & Reimbursement

CMS has just released a correction notice to the FY 2018 SNF PPS Final Rule. Regional wage index technical errors have been corrected. For New York, each of the regional wage indexes have increased slightly (0.1%), resulting in a higher PPS rate across all RUG categories.

NYSHFA is in process of recalculating the rates and will reissue them in the next few days. Members should refrain from billing October Medicare claims until the corrected rates are posted.

Below is AHCA’s announcement:

In the final Fiscal Year (FY) 2018 Skilled Nursing Facility Prospective Payment System (SNF PPS), the Centers for Medicare & Medicaid Services (CMS) made an array of calculation errors. The FY 2018 SNF PPS - Final Rule Correction Notice went on display late Friday, September 30  at the Office of the Federal Register's Public Inspection Desk.

This document corrects technical errors related to the wage index and budget neutrality factor provided in the final rule that appeared in the August 4, 2017, Federal Register (82 FR 36530 through 36636) entitled, "Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2018, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, Survey Team Composition, and Correction of the Performance Period for the NHSN HCP Influenza Vaccination Immunization Reporting Measure in the ESRD QIP for PY 2020." Impacts on members are likely to be minimal but will vary based on patient case mix and CBSA.

The corrected final FY 2018 SNF PPS wage index file will be posted here.

Sincerely,

Michael W. Cheek
Senior Vice President, Reimbursement Policy

NYSHFA CONTACT:

Carl J. Pucci
Chief Financial Officer
518-462-4800 x36