CMS: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2025

Federal Register

Apr 3, 2024

Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) that would update the skilled nursing facility (SNF) prospective payment system (PPS) payment rates for fiscal year 2025. Includes proposals to rebase and revise the SNF market basket to reflect a 2022 base year; update the wage index used under the SNF PPS to reflect data collected during the most recent decennial census; technical revisions to the code mappings used to classify patients under the Patient-Driven Payment Model (PDPM) to improve payment and coding accuracy; and update the requirements for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program. Among other things, this rule also includes proposals to strengthen nursing home enforcement requirements. Comments are due by May 28, 2024.

Healthcare facilities · Healthcare quality · Legislation and regulations · Long-term care · Medicare · Post-acute care · Reimbursement and payment models