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2014-10-07
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Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2015
Part III
Rules and Regulations
D09002ee1bdc3e2b8
D09002ee1bdc3e3b9
United States
Department of Health and Human Services
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org
United States Government Agency or Subagency
United States
Centers for Medicare & Medicaid Services
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org
United States Government Agency or Subagency
This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2015. In addition, it adopts 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 will apply to the facility, and to determine the SNF PPS wage index including a 1-year transition with a blended wage index for all providers for FY 2015. This final rule also contains a revision to policies related to the Change of Therapy (COT) Other Medicare Required Assessment (OMRA). This final rule includes a discussion of a provision related to the Affordable Care Act involving Civil Money Penalties. Finally, this final rule discusses the SNF therapy payment research currently underway within CMS, observed trends related to therapy utilization among SNF providers, and the agency's commitment to accelerating health information exchange in SNFs.
79 FR 45628
https://www.govinfo.gov/app/details/FR-2014-08-05/2014-18335
2014-18335
fr05au14-18
RIN 0938-AS07
4120-01-P
CMS-1605-F
https://www.govinfo.gov/app/details/FR-2014-08-05/2014-18335
https://www.govinfo.gov/content/pkg/FR-2014-08-05/html/2014-18335.htm
https://www.govinfo.gov/content/pkg/FR-2014-08-05/pdf/2014-18335.pdf
Administrative Practice and Procedure
Health Facilities
Medicare
Reporting and Recordkeeping Requirements
32 p.
45628
45659
79 FR 45628
Code of Federal Regulations
Title 42 Part 488
42 CFR Part 488
Regulation Identification Number 0938-AS07
RIN 0938-AS07
Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2015; Federal Register Vol. 79, Issue
RULE
2014-18335
III
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
2014-10-01
CMS-1605-F
4120-01-P
2014-18335
Final rule.
This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2015. In addition, it adopts 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 will apply to the facility, and to determine the SNF PPS wage index including a 1-year transition with a blended wage index for all providers for FY 2015. This final rule also contains a revision to policies related to the Change of Therapy (COT) Other Medicare Required Assessment (OMRA). This final rule includes a discussion of a provision related to the Affordable Care Act involving Civil Money Penalties. Finally, this final rule discusses the SNF therapy payment research currently underway within CMS, observed trends related to therapy utilization among SNF providers, and the agency's commitment to accelerating health information exchange in SNFs.
Effective Date: This final rule is effective on October 1, 2014.
Penny Gershman, (410) 786-6643, for information related to clinical issues.
Administrative Practice and Procedure
Health Facilities
Medicare
Reporting and Recordkeeping Requirements
Medicare Programs:
Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2015
,
SNFTherapyPayments@cms.hhs.gov
http://cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/WageIndex.html
http://www.accessdata.fda.gov/scripts/cder/drugsatfda/index.cfm?fuseaction=Search.Set_Current_Drug&ApplNo=022273&DrugName=OFORTA&ActiveIngred=FLUDARABINE%20PHOSPHATE&SponsorApplicant=SANOFI%20AVENTIS%20US&ProductMktStatus=3&goto=Search.DrugDetails
http://www.bls.gov/mfp
http://www.cms.gov/Medicare/Billing/SNFConsolidatedBilling/2014-Part-A-MAC-Update.html
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/Downloads/Legislative_History_07302013.pdf
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/index.html
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/Spotlight.html
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/therapyresearch.html
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/WageIndex.html
http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual.html
http://www.gpo.gov/fdsys/pkg/BILLS-113hr4302enr/pdf/BILLS-113hr4302enr.pdf
http://www.medpac.gov/documents/Mar14_entirereport.pdf
http://www.sba.gov/category/navigation-structure/contracting/contracting-officials/eligibility-size-standards
http://www.whitehouse.gov/sites/default/files/omb/bulletins/2013/b-13-01.pdf
www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Wage-Index-Reform.html
www.cms.gov/transmittals/downloads/ab001860.pdf
www.cms.gov/transmittals/downloads/r160cp.pdf
www.whitehouse.gov/omb/bulletins/b03-04.html
www.whitehouse.gov/sites/default/files/omb/assets/regulatory_matters_pdf/a-4.pdf
Federal Register
Vol. 79, no. 150
Office of the Federal Register, National Archives and Records Administration
2014-08-05
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Table of Contents:
AE 2.7:
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https://www.govinfo.gov/app/details/FR-2014-08-05
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0097-6326
0042-1219
0364-1406
769-004-00000-9
000582072
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https://www.govinfo.gov/app/details/FR-2014-08-05
https://www.govinfo.gov/content/pkg/FR-2014-08-05/pdf/FR-2014-08-05.pdf
https://www.govinfo.gov/content/pkg/FR-2014-08-05/xml/FR-2014-08-05.xml
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