FY 2020 Medicare Part A Rates and SNF Final Rule Provisions

Oct. 1, 2019 marks the beginning of a new era in Skilled Nursing Facility (SNF) Medicare reimbursement. On that date, the Patient-Driven Payment Model (PDPM) will replace the RUG-IV methodology as the basis for Medicare Part A rates, shifting the focus of reimbursement away from the minutes of therapy provided and toward resident characteristics that have been shown to be predictive of care needs. We previously provided highlights of the Final FY 2020 SNF Prospective Payment System (PPS) Rule. We now provide a listing of the FY 2020 rates under PDPM along with a rate calculator and a detailed summary of the payment, Quality Reporting Program (QRP), and Value-Based Purchasing (VBP) program provisions included in the Final Rule. To access the memo, click here.