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SNF Reimbursement Rates Calculator

Part A

SNF Part A rates are effective October 1, 2019, through September 30, 2020

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 the Medicare provider number and Value-Based Purchasing (VBP) incentive multiplier.

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. Computed rates now include reductions for Quality Reporting Program (QRP) penalties or sequestration.

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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