Medicare will pay nursing homes $360 million less, or 1.1%, in fiscal 2010 because of a recalibration of its case-mix indexes, the CMS announced.
Medicare to pay nursing homes $360 million less in fiscal 2010
According to a news release, case mixes adopted in fiscal 2006 for medically complex patients caused significant and unexpected increases in Medicare spending, and the adjustment is intended to reflect the true costs of services. The new case mixes result in a $1.05 billion decrease in payments, which is largely offset by the marketbasket update for Medicare's skilled-nursing payments.
The CMS also announced a new regulatory framework for inpatient-rehabilitation facilities, or IRFs, intended to promote more consistent review of medical necessity. The CMS is setting the payment rate inflation update for IRFs at 2.5% in fiscal 2010, which is projected to increase total payments to IRFs in fiscal 2010 by $145 million, according to the CMS.
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