Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities: Revisions to Case-mix Methodology (CMS-1686-ANPRM)

27 organizations filed 28 public comments on Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities: Revisions to Case-mix Methodology (CMS-1686-ANPRM), at the Centers for Medicare & Medicaid Services. The comment window closed 3259d ago.

Abstract

We are issuing this advance notice of proposed rulemaking (ANPRM) to solicit public comments on potential options we may consider for revising certain aspects of the existing skilled nursing facility (SNF) prospective payment system (PPS) payment methodology to improve its accuracy, based on the results of our SNF Payment Models Research (SNF PMR) project. In particular, we are seeking comments on the possibility of replacing the SNF PPS’ existing case-mix classification model, the Resource Utilization Groups, Version 4 (RUG-IV), with a new model, the Resident Classification System, Version I (RCS-I). We also discuss options for how such a change could be implemented, as well as a number of other policy changes we may consider to complement implementation of RCS-I.

Commenters (27)

• DC -- (NARA) The National Association of Rehabilitation Providers and Agenciestrade assoc.

  2 filings · confidence 85%
• American Association of Post-Acute Care Nursingtrade assoc.

  1 filing · confidence 85%
• American Health Care Association (AHCA/NCAL)trade assoc.

  1 filing · confidence 97%
• CA - (UCSF) University of California San Franciscounverified attribution

  1 filing · confidence 70%
• CA - University of Southern Californiaunverified attribution

  1 filing · confidence 70%
• CA-California Hospital Associationtrade assoc.

  1 filing · confidence 85%
• CO - American Association of Nurse Assessment Coordinationtrade assoc.

  1 filing · confidence 85%
• DC - American Health Information Management Associationtrade assoc.

  1 filing · confidence 85%
• DC - Hemophilia Federation of Americatrade assoc.

  1 filing · confidence 85%
• DC - National Association for the Support of Long Term Caretrade assoc.

  1 filing · confidence 85%
• DC - National Association of Rehabilitation Providers and Agenciestrade assoc.

  1 filing · confidence 85%
• DC - Service Employees International Unionunverified attribution

  1 filing · confidence 70%
• DC--Alzheimer's Associationtrade assoc.

  1 filing · confidence 85%
• DC--American Hospital Associationtrade assoc.

  1 filing · confidence 85%
• Health Care Council of Illinoistrade assoc.

  1 filing · confidence 85%
• HI--Healthcare Association of Hawaiitrade assoc.

  1 filing · confidence 85%
• IL - American Occupational Therapy Associationtrade assoc.

  1 filing · confidence 85%
• IN - Med-Rec Systemsunverified attribution

  1 filing · confidence 70%
• MD--The American Occupational Therapy Associationtrade assoc.

  1 filing · confidence 85%
• ME - University of Southern Maineunverified attribution

  1 filing · confidence 70%
• NY--Continuing Care Leadership Coalitiontrade assoc.

  1 filing · confidence 85%
• NY--Healthcare Association of New York Statetrade assoc.

  1 filing · confidence 85%
• NY--National Hemophilia Foundationtrade assoc.

  1 filing · confidence 85%
• SD - South Dakota Association of Healthcare Organizationstrade assoc.

  1 filing · confidence 85%
• TX--American Association for Respiratory Caretrade assoc.

  1 filing · confidence 85%
• VA--American Society of Consultant Pharmaciststrade assoc.

  1 filing · confidence 85%
• VA-American Physical Therapy Associationtrade assoc.

  1 filing · confidence 85%