On July 30, CMS released the FY 2020 SNF PPS Final Rule. This rule finalizes payment policies for Medicare Part A in the SNF and updates the SNF Quality Reporting and Value-based Purchasing Programs.
Highlights include:
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- An overall payment increase of 2.4%, or $851 million, for FY 2020
- The unadjusted federal per diem rates, both Urban and Rural, have been changed from what was proposed (every element decreased slightly)
- The definition of group therapy for Medicare Part A was finalized as “2-6 patients performing the same or similar activities”
- CMS finalized a sub-regulatory process for updating ICD-10-CM codes used to classify patients under PDPM (similar to the current process for updating HCPCS codes for consolidated billing and ICD-10 codes for the IRF classification methodology)
- CMS is adopting two new quality measures for the SNF QRP related to transfer of health information
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For more information, access the CMS Fact Sheet and the Final Rule.
Read the CMS Fact Sheet here.
For more information, read Casamba’s summary of the Final Rule.
