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CMS Finalizes Three 2019 Payments Rule

Posted on Wednesday, August 1, 2018 6:19 PM

This week, CMS finalized three 2019 Medicare payment rules for the Skilled Nursing Facility PPS, Inpatient Rehabilitation Facility PPS, and Inpatient Psychiatric Facility PPS. Individually and collectively, the final rules issued put patients over paperwork, ease provider burden, and make significant strides in modernizing Medicare.

The Skilled Nursing Facilities (SNF) PPS final rule alleviates the huge paperwork burden on providers by easing documentation requirements and offers more flexibility.  The SNF PPS rule establishes an innovative new classification system, the Patient Driven Payment Model (PDPM), which ties skilled nursing facility payments to patients’ conditions and care needs rather than volume of services provided. The move to this model is expected to also save providers an estimated $2 billion over the next decade.

The Inpatient Rehabilitation Facility (IRF) PPS and Inpatient Psychiatric Facility (IPF) PPS final rule finalized policies that ensure the measures those providers must report are patient-centered and outcome-driven rather than process-oriented. Where applicable, these changes will allow providers to work with a smaller set of more meaningful healthcare measures and spend more time on patient care.

Click below for fact sheets:

Skilled Nursing Facilities Fact Sheet

Inpatient Rehabilitation Facility Fact Sheet

Inpatient Psychiatric Facility Fact Sheet

Source: CMS


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