Long-Term Care & Senior Living

SNF Reimbursement Rates Calculator

Medicare Skilled Nursing Facility Reimbursement Rates Calculator

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Part A

SNF Part A rates are effective October 1, 2021, through September 30, 2022

Rates are based on the final rule published July 29, 2021. Technical corrections could be released resulting in further rate changes. BKD will continue monitoring and updating rates as necessary.

We understand skilled nursing facility (SNF) payment rates are critical to your business operations. The Part A rate calculator reflects estimated SNF Medicare rates under the Patient-Driven Payment Model, including variable payments over a 100-day stay. Providers can view rates by location after entering their Medicare provider number, selecting a volume indicator for Value-Based Purchasing (VBP) adjustment, and indicating whether they are subject to the Quality Reporting Program (QRP) penalties. Please note the template does not include the 2 percent sequestration reduction, which currently is inactive.

Rates can be viewed for specific Health Insurance Prospective Payment System (HIPPS) codes calculated by each resident's Minimum Data Set (MDS) assessment, on the Rate Summary tab. The Rate Components tab reflects total rates for each case mix group.

For more information on rate changes, see this recent BKD Thoughtware® article on the July 29, 2021, fiscal year 2022 SNF Part A prospective payment system final rule.

 

Part B

SNF Part B rates are effective January 1, 2021, through December 31, 2021

The Part B rate calculator includes commonly used therapy procedure codes that SNFs are paid for under the physician fee schedule.

 

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