Department of Health and Human Services, Centers for Medicare and Medicaid Services: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2010; Minimum Data Set, Version 3.0 for Skilled Nursing Facilities and Medicaid Nursing Facilities
GAO-09-982R, Aug 25, 2009
GAO reviewed the Centers for Medicare and Medicaid Services (CMS) new rule on the Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2010. GAO found that (1) the final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs), for fiscal year (FY) 2010. In addition, it recalibrates the case-mix indexes so that they more accurately reflect parity in expenditures related to the implementation of case-mix refinements in January 2006. The rule also makes certain technical corrections; and (2) CMS complied with applicable requirements in promulgating the rule.