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CMS Issues Proposed Rules for Fiscal Year 2022 SNF and Hospice Payments | King & Spalding


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On April 8, 2021, CMS issued proposed rules for the Fiscal Year (FY 2022) Skilled Nursing Facility (SNF) Prospective Payment System (PPS) and FY 2022 hospice payments. CMS estimates that the aggregate impact of the payment policies in the SNF PPS proposed rule would result in an increase of approximately $444 million in Medicare Part A payments to SNFs in FY 2022, and CMS estimates the hospice proposed rule would result in a $530 million increase in payments for hospices for FY 2022. CMS is accepting comments on both proposed rules until June 7, 2021.
Proposals in the FY 2022 SNF PPS Proposed Rule ....

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CMS Proposed Rate Increases for Skilled Nursing Providers and Hospice Providers


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CMS Announces Proposed Rate Increases and Other Changes for Skilled Nursing Providers and Hospice Providers in Fiscal Year 2022
Tuesday, April 13, 2021
On April 8, 2021, the Center for Medicare & Medicaid Services (“CMS”) announced a proposed rate increase of 1.3 percent for skilled nursing providers in fiscal year 2022. It is estimated this will result in approximately $444 million increase in payments to skilled nursing facilities (SNF) under Medicare Part A for the fiscal year.  This increased payment rate does not incorporate the SNF Value-Based Program (VBP) reductions that CMS estimates to be $184.25 million for FY 2022.
CMS is also looking at three additional fiscal areas.  First, it is looking at whether it should recalibrate the Patient Driven Payment Model (PDPM) Parity Adjustment.  A parity multiplier is applied for PDPM components to maintain the relative value of each case mix index (CMI) while achieving congruence on o ....

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