AHCA Medicare Rate Tool Available for 2015 Proposed Rule

On May 1, 2014, the Centers for Medicare and Medicaid Services (CMS) released its proposed rule for the skilled nursing facility ( SNF) Prospective Payment System (PPS), indicating Medicare rates for the coming fiscal year. CMS is proposing a 2.0% increase, estimated to increase overall SNF payments by $750 million nationally.

This proposed rule would update the payment rates used under PPS for SNFs for fiscal year 2015 beginning October 1st of 2014. In addition, it includes a proposal to adopt the most recent Office of Management and Budget (OMB) statistical area delineations to identify a facility's urban or rural status for the purpose of determining which set of rate tables would apply to the facility and to determine the SNF PPS wage index including a proposed one-year transition with a blended wage index for all providers for FY 2015. It also includes a discussion of the SNF therapy payment research currently underway within CMS. This proposed rule also proposes a revision to policies related to the Change of Therapy (COT) Other Medicare Required Assessment (OMRA). This proposed rule includes a discussion of a provision related to the Affordable Care Act involving Civil Money Penalties. Finally, this proposed rule includes a discussion of observed trends related to therapy utilization among SNF providers and a discussion of accelerating health information exchange in SNFs.

AHCA has developed an interactive spreadsheet to help members calculate the exact rate change impact for their centers.  Member login is required to access the file.  Please contact VHCA if you need login credentials for ahcancal.org.