Providers

Payment Rate Calculation Tools and Other References

  • Payment Rate Calculation Tools:  Individual facilities can use these tools to assess how they will fare under the latest SNF payment rule (Medicare Part A), dating back two years. Each tool calculates the facility's payment rate for each separate RUG and the total Medicare Part A payment for the year of interest. 
  • RUGs IV Rate Calculation Tool: This tool calculates the SNF Medicare Part A payment for FY 2011, effective October 10, 2010.
  • RUG III – RUG IV Comparison Rate Tool: The tool will automatically calculate your total Medicare payments for FY 2010 and FY 2011 separately, and provide you with an  estimate of the difference in payment as a consequence of the the new RUGs-IV implementation.  The model will estimate results assuming a zero market basket update for FY 2011.  This tool should be used after reviewing Getting Stated: Understanding RUGsIV©
  • SNF Market Basket Updates (2004 - 2010): List of all the market basket final updates from 2004 to most recent.

 For more information, contact: Iara Woody, (202) 508-9429.

 

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