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SNF Reimbursement Rates Calculator

Medicare Skilled Nursing Facility Reimbursement Rates Calculator

Get more information about our services, submit a request for proposal, or get in touch with a BKD Trusted Advisor™.

Part A

SNF Part A rates are effective October 1, 2020, through September 30, 2021

Rates are based on the final rule published July 31, 2020. 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 and Value-Based Purchasing (VBP) incentive multiplier. Providers affected by Quality Reporting Program (QRP) penalties can indicate on the template if the penalty applies to calculate the reduction. Please note the template does not include the 2 percent sequestration reduction, which currently is inactive from May through December 31, 2020, dates of service.

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.

 

Part B

SNF Part B rates are effective January 1, 2020, through November 30, 2020

*The geographic practice cost index (GPCI) work floor extension is currently set to expire December 1, 2020.  We will continue to monitor and update rates as necessary.

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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