Increase in Reimbursement

The Centers for Medicare & Medicaid Services posted payment updates for skilled nursing and inpatient rehabilitation facilities' prospective payment systems for fiscal 2011. Nursing homes will realize a 1.7% increase in its market basket rate.  The nursing home increase was actually 2.3%, but federal regulators noted that an automatic click down of 0.6% was put into effect because overpayments were made at that rate in fiscal 2009. The net nationwide gain in Medicare payments to skilled nursing facilities will be $542 million in fiscal 2011.

CMS would be putting MDS 3.0 into effect on Oct. 1, which will modify resident assessment tool. As previously indicated, the RUGs-IV refined payment system will begin at the same time but will be recalibrated in the future, after CMS devises an appropriate way to recalibrate payments.

The SNF and IRF payment updates for fiscal 2011 will be officially published in the Federal Register. 

New addition to CMS website

Mcknight's had a recent article about the changes to the CMS ranking website.  The Centers for Medicare & Medicaid Services has announced a number of updates to its Web site. These include new information about the Five-Star rating system for nursing homes, which became available Thursday, May 28.

Five-Star provider preview reports were released May 20. Nursing home providers can access that information through the Minimum Data Set (MDS) State Welcome pages that are available at the state servers for the submission of MDS data, according to CMS.

May's Five-Star data was added to the Nursing Home Compare Web site on May 28. For more information, visit www.medicare.gov/NHcompare.

CMS has also updated the information under its FAQ section of the Recovery Audit Contractor (RAC) portion of its Web site. On May 19, CMS added answers to questions such as "Why is CMS using recovery audit contractors?" and "Who should providers contact with questions concerning recovery audit contractor communications?" For more information, visit www.cms.hhs.gov/RAC.

 

Poliakoff & Associates, P.A., is one of South Carolina’s most respected and distinguished law firms. The Poliakoff firm began nearly 60 years ago by three attorney brothers: Matthew, J. Manning, and Bernard. With a history of believing the justice system...More...