FY 2016 Medicare SNF PPS Rate Calculator Available

AHCA has developed a Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) rate calculator​ to assist members in examining and estimating the impact of payment changes to SNF PPS rates.  The calculator is available at the AHCA website.

The necessary steps to complete the calculation are

To prepare the rate estimates, please take the following steps on the “Inputs and Results” tab of the Excel spreadsheet:

1. Enter your facility name.

2. Select your facility location in the drop-down menu on the line “Facility Location (CBSA)”.

3. Enter the time period that covers the Medicare patient days by RUG category for your facility.

4. Enter the Medicare patient days by RUG category under the RUG-IV payment system.

The rate calculator has been updated to reflect Medicare payment policy changes found in the SNF PPS notice for fiscal year 2016 that was issued on May 15, 2015. The proposed rule and the rate calculator illustrate the net impact of a 2.6% increase in rates for the market basket update, a 0.6% reduction in rates due to a forecast error adjustment, and a 0.6% reduction in rates due to the Accountable Care Act (ACA) mandated productivity adjustment, for a net 1.4% increase in SNF PPS rates for FY 2014.


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