Proposed federal rule updates Medicare Part A payments for nursing homes, modifies the Quality Reporting Program, and specifies measurement periods for the Value-Based Purchasing program.

Counties proposed for increase include Allegany, Clinton, Delaware, Essex, Franklin, Hamilton, and St. Lawrence.

2019 income limits now available.

SNFs can potentially avoid a 2 percent reduction in their Medicare FFS rates by ensuring they have submitted all necessary MDS data for admissions and discharges between Oct. 1^st and Dec. 31, 2018 as part of the required reporting for the SNF QRP.

Multiple claim submissions could result in denials.