1.0 FISCAL
YEAR (FY) 2018 FOR SERVICES RECEIVED PRIOR TO OCTOBER 1, 2019
Using the SNF XYZ, the following
shows the adjustments made to the Federal per diem rate to compute
the provider’s actual per diem PPS payment. SNF XYZ’s total PPS
payment would equal $47,602.52.
SNF XYZ:
Located In Frederick, MD (Urban CBSA 43524) Wage Index: 0.9869
|
RUG-IV
Group
|
Labor
|
Wage Index
|
Adj. Labor
|
Non-Labor
|
Adj. Rate
|
Percent
Adj.
|
SNF Days
|
Payment
|
|
Source: 82 FR 46169;
Medicare Program; Prospective Payment System and Consolidated Billing
for Skilled Nursing Facilities For FY 2018.
|
|
RVX
|
$512.46
|
0.9869
|
$505.75
|
$211.35
|
$717.10
|
$717.10
|
14
|
$10,039.40
|
|
ES2
|
$411.47
|
0.9869
|
$406.08
|
$169.70
|
$575.78
|
$575.78
|
30
|
$17,273.40
|
|
RHA
|
$258.53
|
0.9869
|
$255.14
|
$106.63
|
$361.77
|
$361.77
|
16
|
$5,788.32
|
|
CC2*
|
$238.33
|
0.9869
|
$235.21
|
$98.29
|
$333.50
|
$760.38
|
10
|
$7,603.80
|
|
BA2
|
$164.31
|
0.9869
|
$162.16
|
$67.76
|
$229.92
|
$229.92
|
30
|
$6,897.60
|
|
|
|
|
|
|
|
|
|
|
100
|
$47,602.52
|
|
|
2.0 FISCAL
YEAR (FY) 2019 FOR SERVICES RECEIVED PRIOR TO OCTOBER 1, 2020
Using the SNF XYZ, the following
shows the adjustments made to the Federal per diem rate to compute
the provider’s actual per diem PPS payment. SNF XYZ’s total PPS
payment would equal $48,779.14.
SNF XYZ:
Located In Frederick, MD (Urban CBSA 43524) Wage Index: 0.9880
|
RUG-IV
Group
|
Labor
|
Wage Index
|
Adj. Labor
|
Non-Labor
|
Adj. Rate
|
Percent
Adj.
|
SNF Days
|
Payment
|
|
Source: 83 FR 39178;
Medicare Program; Prospective Payment System and Consolidated Billing
for Skilled Nursing Facilities For FY 2019.
|
|
RVX
|
$522.48
|
0.9880
|
$516.21
|
$218.62
|
$734.83
|
$734.83
|
14
|
$10,287.62
|
|
ES2
|
$419.50
|
0.9880
|
$414.47
|
$175.54
|
$590.01
|
$590.01
|
30
|
$17,700.30
|
|
RHA
|
$263.59
|
0.9880
|
$260.43
|
$110.29
|
$370.72
|
$370.72
|
16
|
$5,931.52
|
|
CC2*
|
$242.99
|
0.9880
|
$240.07
|
$101.67
|
$341.74
|
$779.17
|
10
|
$7,791.70
|
|
BA2
|
$167.52
|
0.9880
|
$165.51
|
$70.09
|
$235.60
|
$235.60
|
30
|
$7,068.00
|
|
|
|
|
|
|
|
|
|
|
100
|
$48,779.14
|
|
|