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.
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.
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 | email@example.com
Stephanie Fitzgerald RN, RAC-CTA, CPC, Manager
502-992-2582 | firstname.lastname@example.org
Kayla May, CPA, Manager
317-275-7414 | email@example.com