Pps Rug Rates 2017

Inpatient prospective payment system ipps hospital market basket base year 2014 updates inpatient hospital operating outpatient pps payments hospice pps payments.

Pps rug rates 2017. 171 12 nursing case mix 128 90 therapy case mix 16 97 therapy non case mix and 87 33 non case mix. If your snf and or swing bed is reimbursed at 100 of the federal rate you can now calculate your facility s snf and or swing bed pps rug rates. Updates cost limits for children s hospitals cancer hospitals religious non medical health care institutions and short term acute care hospitals located in u s. Rug iv classifications help medicare determine the part a snf pps payment.

Specifically for the fy 2017 snf pps proposed rule we inadvertently used the following rates as the fy 2016 unadjusted urban federal per diem rates in the calculation of the proposed fy 2017 urban unadjusted federal per diem rates. Skilled nursing facility snf prospective payment system pps resource utilization group rug rates reimbursement and remittances. Updates to the value based. The rug iv classification system includes eight major classification categories.

The mds 3 0 classifies residents into a resource utilization group version iv rug iv based on the average resources needed to care for someone with similar care needs. The balanced budget act bba of 1997 public law 105 33 mandated the implementation of a per diem prospective payment system pps for skilled nursing facilities snfs covering all costs routine ancillary and capital of covered snf services furnished to beneficiaries under part a of the medicare program effective for cost reporting periods beginning on or after july 1 1998.