SNF Prospective Payment System
Rates & Indices
Description of Part B Add-On Methodology:
As explained in the May 12, 1998 interim final rule (63 FR 26252), the
BBA 1997 requires the per diem rates paid under the SNF PPS to include
a "Part B add-on" that reflects items and services (other
than those specifically excluded) which, prior to July 1, 1998, had
been paid under Part B but furnished to SNF residents during a Part A
covered stay. Accordingly, it was necessary to determine the Part B
allowable charges (including coinsurance) associated with the SNFs
contained in the cost report data base. We accomplished this by
matching 100 percent of the Medicare Part B SNF claims associated with
Part A covered SNF stays related to the SNF cost reporting periods
beginning in the 1995 base year. We computed the matched Part B
allowable charges at a facility level by the appropriate cost report
cost center (for example, laboratory services, supplies) with the cost
report data.
Rates and Indices (Zip files):
-
Medicare SNF PPS - Payment Rates & Case Mix:
- Urban - snfppsur.zip (7kb)
- Rural - snfppsru.zip (7kb)
- Staff Time Measure Study Combined 1995 & 1997: stmsc.zip (6kb)
- '95 + '97 Staff Time Measurement Data Set: stmds.zip (8kb)
- SNF PPS Therapy Index: snfppsti.zip (2kb)
Assistance related to downloading issues can be found on CMS' Technical Help page.
