Support: FAQs, tutorials, videos, page index and more
Medical Billing and Coding, ICD-10-CM, ICD-10-PCS, CPT, HCPCS, etc.
Viewing:  Oct 23, 2017
Find-A-Code Focus Newsletter

Increased Medicare Payment Rates For FY 2018!

August 02, 2017

We can look forward to a few prospective payments for Skilled Nursing Facilities, Hospice and Inpatient Rehab; CMS released their final rule and reported on key highlights of the new FY 2018 Medicare payment rules.

CMS States, “The 2018 Skilled Nursing Facility (SNF) Prospective Payment System Final Rule increases Medicare payment rates by 1.0 percent for FY 2018, as statutorily-required by section 411(a) of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which is an aggregate impact of $370 million from payments in FY 2017.  The rule revises and rebases the SNF market basket index by updating the base year data from FY 2010 to 2014 and by adding a new cost category for Installation, Maintenance, and Repair Services.  The rule also finalizes updates to the SNF Quality Reporting Program, including replacing the pressure ulcer measure with an updated version, adopting new functional status measures and publicly displaying new measures.  In addition, it finalizes policies for the SNF Value-Based Purchasing Program for FY 2019, the first year this program will impact Medicare payments and the requirements regarding the composition of professionals for the survey team.

The 2018 Hospice Update updates FY 2018 Medicare payment rates and the wage index for hospices serving Medicare beneficiaries and hospice quality reporting requirements.  The final hospice payment and hospice quality reporting requirements rule reflects the ongoing efforts of CMS to support beneficiary access to hospice care and includes measures that are burden neutral and improve care quality and outcomes for patients.  The Medicare payments update to hospices is statutorily-mandated by section 411(d) of the MACRA to be 1.0 percent ($180 million) for FY 2018.

The 2018 Inpatient Rehabilitation Facility (IRF) Prospective Payment System

Final Rule updates payment rates for FY 2018 using the most recent available data.  The updated IRF prospective payment system payments for FY 2018 reflect a 1.0 percent increase factor, in accordance with section 411(b) of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).  An additional 0.1 percent decrease to aggregate payments due to updating the outlier threshold results in an overall update for FY 2018 of 0.9 percent (or $75 million) relative to payments in FY 2017.  CMS also finalized the removal of the 25 percent payment penalty in order to remove an unnecessary burden on IRFs.  Following public comments, CMS finalized the replacement of the current pressure ulcer measure with an updated version of that measure, the removal of the All-Cause Unplanned Readmission Measure for 30 Days Post-Discharge from IRFs, and the public display of six additional quality measures”.

For a fact sheet on the FY 2018 Skilled Nursing Facility Prospective Payment System final rule (CMS-1679-F), please visit: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-07-31.html

For a fact sheet on the FY 2018 Hospice Update (CMS-1675-F), please visit: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-08-01.html

For a fact sheet on the FY 2018 Inpatient Rehabilitation Facility Prospective Payment System Final Rule (CMS-1671-F), please visit: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-07-31-2.html

The final rules can be downloaded from the Federal Register at: https://www.federalregister.gov/public-inspection 


Share:
 

More Articles in August 2017

 

Poll

What is your primary credentialing organization?

Articles by Month
October 2017- 3
September 2017- 5
August 2017- 8
July 2017- 5
June 2017- 8
May 2017- 7
April 2017- 13
March 2017- 10
February 2017- 12
January 2017- 6
December 2016- 8
November 2016- 9
October 2016- 14
September 2016- 8
August 2016- 5
July 2016- 18
June 2016- 8
May 2016- 3
April 2016- 5
March 2016- 9
February 2016- 12
January 2016- 13
2015 - View
2014 - View
2013 - View
2012 - View
2011 - View
2010 - View
2009 - View
2008 - View

Free 28 Day Trial
No Credit Card Required
Pricing
Starting at $4.95/month
Sign In
Welcome back!