Prospective Payment for Skilled Nursing Facilities

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Principles of Reasonable Cost Reimbursement; Payment for End-Stage Renal Disease Services; Prospectively Determined Payment Rates for Skilled Nursing Facilities; Payment for Acute Kidney Injury Dialysis
  7. Prospective Payment for Skilled Nursing Facilities

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Section
413.330

Basis and scope.

Section
413.333

Definitions.

Section
413.335

Basis of payment.

Section
413.337

Methodology for calculating the prospective payment rates.

Section
413.338

Skilled nursing facility value-based purchasing program.

Section
413.340

Transition period.

Section
413.343

Resident assessment data.

Section
413.345

Publication of Federal prospective payment rates.

Section
413.348

Limitation on review.

Section
413.350

Periodic interim payments for skilled nursing facilities receiving payment under the skilled nursing facility prospective payment system for Part A services.

Section
413.355

Additional payment: QIO reimbursement for cost of sending records electronically or by photocopy and mailing.

Section
413.360

Requirements under the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP).