Medicare Cost Reporting
Provider Reimbursement
Provider Enrollment
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Instructions for the Calculation of the SNF PPS Per Diems for Urban and Rural
Skilled Nursing Facilities
These spreadsheets have been designed to enable the user to quickly calculate
their per diem rates under the new Skilled Nursing Prospective Payment System.
- For skilled nursing facilities that are considered urban and are going
through the first cost reporting period of the 3 cost reporting period transition
phase.
- Enter the wage index for the skilled nursing facility's MSA, from May 12,
1998 Federal Register, Table 2.I.
- Enter the Facility Specific Rate for your facility that was determined
by the Audit Intermediary.
- For skilled nursing facilities that are considered urban and were determined
to be "new" providers for payment under SNF PPS. These facilities
will be paid 100% Federal Rates.
- Enter the wage index for the skilled nursing facility's MSA, from May 12,
1998 Federal Register, Table 2.I.
- Enter the Facility Specific Rate for your facility that was determined
by the Audit Intermediary.
- For skilled nursing facilities that are considered rural and are going
through the first cost reporting period of the 3 cost reporting period transition
phase.
- Enter the rural wage index for the state your skilled nursing facility
is located in from the May 12, 1998 Federal Register, Table 2.I.
- Enter the Facility Specific Rate for your facility that was determined
by the Audit Intermediary.
- For skilled nursing facilities that are considered rural and were determined
to be "New" providers for payment under SNF PPS. These facilities
will be paid 100% Federal Rates.
- Enter the rural wage index for the state your skilled nursing facility
is located in from the May 12, 1998 Federal Register, Table 2.I.
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