A CMS proposed case mix refinement for skilled-nursing facilities would decrease overall Medicare payments by about 1.2% in fiscal 2010. The proposed decrease is intended to recalibrate a 2006 case-mix adjustment. That adjustment resulted in unforeseen increases in Medicare payments to nursing facilities because many patients were being classified into higher-paying resource utilization groups at higher rates than had been anticipated, the CMS said in a May 1 news release. The new proposal would recalibrate case-mix weights to the levels the CMS had intended with the 2006 adjustment. The CMS said that the decrease in payments would have been much greater except that the drop would be largely offset by this years proposed update in Medicare payments. Taken together, the case-mix refinement and the annual price update would result in an overall decline of $390 million, or 1.2% of fiscal 2009 payments. The full proposal is available online at federalregister.gov. Public comment on the proposal will be accepted until June 30.
Late News: CMS refinement would drop skilled-nursing payments 1.2%
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