By Jeffrey R. Bates
On July 31, 2009, the Centers for Medicare & Medicaid Services (CMS) issued a final rule implementing changes to the Prospective Payment System for Skilled Nursing Facilities (SNFs) for fiscal year (FY) 2010. The rule is scheduled to be published in the August 11, 2009, edition of the Federal Register, but was placed on display at the Office of Federal Register. In its accompanying July 31, 2009, press release, CMS said these adjustments for FY 2010 payment rates would better reflect the costs of caring for Medicare beneficiaries in nursing homes.
Among other changes, the rule:
CMS also established a schedule for implementation of a revised case-mix classification methodology known as RUG-IV. This revised methodology is to reflect updated staff time measurement data derived from the recently completed Staff Time and Resource Intensity Verification (STRIVE) project. The RUG-IV will be implemented on October 1, 2010.
In addition, CMS included information on the transition to the Minimum Data Set, Version 3.0 (MDS 3.0). The MDS 3.0 is a redesigned nursing home resident assessment instrument, and it will also be implemented on October 1, 2010. Under MDS 3.0, services provided prior to the resident's admission to the SNF will no longer be counted for classification to a RUG category. Only services provided in the SNF will be reported on the MDS 3.0 and taken into consideration for the assignment of a resident to a particular RUG.
Copyright 2009 American Health Lawyers Association,
Reprint permission granted.
Further reprint requests should be directed to
American Health Lawyers Association
For more information on Health Lawyers content, visit us at www.healthlawyers.org.