Medicare Program; Prospective Payment System & Consolidated Billing For Skilled Nursing Facilities (SNF) Proposed Rule For FY 2019, SNF Value-Based Purchasing Program, & SNF Quality Reporting Program

The proposed rule was released on April 27, 2018. It presents changes to the Medicare skilled nursing facility (SNF) prospective payment system (PPS) for fiscal year (FY) 2019, which begins on October 1, 2018. Among the changes is a provision to implement payment adjustments via the Medicare SNF value-based purchasing program. Additionally, the proposed rule updates the SNF PPS for FY 2019. It proposes replacing the existing case-mix classification methodology, the Resource Utilization Groups, Version IV (RUG–IV) model, with a revised case-mix methodology called the Patient-Driven Payment Model (PDPM) effective October 1, 2019. The proposed . . .