GDS | "The Scoop"

CMS FFY 2025 Skilled Nursing Final Rule

Written by Chris Cusimano | Aug 2, 2024 3:30:49 PM

On July 31, 2024, CMS released the FFY 2025 Skilled Nursing Facility (SNF) Prospective Payment System Final Rule (CMS-1802-F).

  • SNF payments up 4.2% (3% market basket + 170 basis point forecast error adjustment – 50 basis point productivity adjustment).
  • Code Mappings changed in ICD-10 Patient-Driven Payment Model (PDPM).
  • Expansion of ability to impose Civil Monetary Penalties (CMPs) and promote correction for health and safety violations.
  • 2% annual payment update reduction if not compliant in quality reporting program (QRP).
  • Changed and Introduced QRP assessment measures.
  • New FY 2027 process for about 1,500 SNFs to share medical records for validation.

This Final Rule CMS-1802-F is scheduled to be published August 6, 2024.
Here is a link to the version currently on display for public inspection:
Final Rule CMS-1802-F

Here is a link to the Fact Sheet from CMS that summarize the Final Rule:
Fact Sheet CMS-1802-F