CMS issues proposed SNF payment rule for FY 2014

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The Centers for Medicare & Medicaid Services yesterday issued a proposed rule increasing Medicare payment rates for skilled nursing facilities by 1.4%, or $500 million, in fiscal year 2014. The proposed increase is based on a 2.3% marketbasket increase, minus a 0.4 percentage point productivity adjustment required by law and a 0.5 percentage point adjustment to account for the difference between the actual and projected marketbasket for FY 2012. The rule also would revise and rebase the marketbasket beginning in FY 2014 to reflect FY 2010 cost data, add five cost categories and revise several price proxies. CMS also proposes a more specific Minimum Data Set reporting process to capture distinct calendar days of therapy.

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