< Back to Thought Leadership

FY 2023 PDPM SNF PPS Calculator is Now Available

It has been a month since regulation for the Centers for Medicare and Medicaid Services (CMS) Fiscal Year (FY) 2023 Skilled Nursing Facility Prospective Payment System (SNF PPS) rates went into effect.

In the final rule CMS put in place a 4.6% PDPM (Patient-Driven Payment Model) parity adjustment to reduce overall spending to a budget-neutral amount. Adjusting the Case Mix Indexes (CMI) for each component to offset higher than anticipated spending. The CMS is implementing this parity change with a 2.3% PDPM payment reduction for two years.

PDPM Case Mix Rate Changes Due to Parity Adjustment FY 2023 Versus FY 2022

It is important to know what your facility’s overall reimbursement picture looks like with the changes below.

PDPM Case Mix Rate Changes Due to Parity Adjustment FY 2023 Versus FY 2022

Download the FY 2023 PDPM SNF PPS Calculator Today

Blue & Co.’s FY 2023 PDPM SNF PPS Calculator can help you determine your Medicare daily reimbursement rates.

Contact Us

Blue also has a team of experts who can assist you with reimbursement analysis, MDS reviews, PDPM training and much more.

Contact your local Blue & Co. Advisor or a member of our Post-Acute Care team, and we can assist you with understanding the new CMS changes, projections, and help your facility identify areas of missed opportunities.

Landon Hackett, CPA, MSA, Director
317-713-7929 | lhackett@blueandco.com

Stephanie Fitzgerald RN, RAC-CTA, CPC, Manager
502-992-2582 | sfitzgerald@blueandco.com

Kayla May, CPA, Manager
317-275-7414 | kshelton@blueandco.com

heart and a jar of money

Unveiling the Dynamics of Donor-Restricted Contributions

By Greg Jackson, CPA, Principal at Blue & Co. Many not-for-profit organizations rely on public support (grants and contributions) to finance their mission. When that public support includes donor-restricted grants and contributions, those restricted amounts must be reported and accounted for in accordance with the related restrictions attached to the funds. When recording a donor-restricted […]

Learn More

How to Manage Clinical Validation Denials

In the past several years, hospitals have continued to feel the impact on revenue from Clinical Validation Denials (CVD). The need for a robust CDI team to capture support for clinical indicators while the patient is still in house is more imperative than ever. The other overwhelming piece for revenue cycle teams to manage is […]

Learn More

Margin Improvement: Optimizing Financial Performance

Ensuring the long-term financial viability of a health system requires constant attention to the operating statement. This involves assessing the current state of your healthcare organization and critically comparing the current condition to industry and/or internal benchmark standards. Ultimately, this assessment assists management implement an ongoing margin improvement process to increase the likelihood of achieving […]

Learn More