As the 2026 fiscal year settles in, skilled nursing facilities are facing a pivotal moment in reimbursement accuracy: the CMS Final Rule has finalized significant updates to PDPM ICD-10 mappings and ...
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CMS issues MDS 3.0 updates ahead of FY2026 rollout
The Centers for Medicare & Medicaid Services (CMS) has finalized updates to MDS 3.0 technical specifications, item sets, and the RAI User’s Manual for FY2026, effective October 1, 2025. These include ...
On August 4, 2025, CMS issued a final rule (Final Rule) updating payment rates, policies, and quality programs for Skilled Nursing Facilities (SNFs) under the Medicare Prospective Payment System (SNF ...
After much hype, trepidation and, for some providers, feverish planning, the Patient Driven Payment Model (PDPM) took effect in October. There has been much speculation about how the new system, ...
On July 31, 2023, CMS issued its final rule updating the rates and Medicare payment policies under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for FY 2024 (the Final Rule). The ...
The Centers for Medicare and Medicaid Services has issued a final rule updating Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective ...
Skilled nursing facilities get a 4.1% payment increase for 2025, according to a proposed rule released by the Centers for Medicare and Medicaid Services under the Skilled Nursing Facility Prospective ...
CMS contracted with Acumen, LLC for SNF reform and Abt Associates for HHA reform. The goal in both cases was to develop an alternative case-mix adjustment methodology, in which Medicare payments would ...
Medicare’s Patient Driven Payment Model (PDPM) significantly altered the way skilled nursing facilities (SNFs) are paid, removing the financial incentive to maximize the volume of therapy services ...
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