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医疗保险计划;2014财年熟练护理设施的前瞻性支付系统和合并计费。最终规则。

Medicare program; prospective payment system and consolidated billing for skilled nursing facilities for FY 2014. Final rule.

出版信息

Fed Regist. 2013 Aug 6;78(151):47935-78.

PMID:23923146
Abstract

This final rule updates the payment rates used under the prospective payment system for skilled nursing facilities (SNFs) for fiscal year (FY) 2014. In addition, it revises and rebases the SNF market basket, revises and updates the labor related share, and makes certain technical and conforming revisions in the regulations text. This final rule also includes a policy for reporting the SNF market basket forecast error in certain limited circumstances and adds a new item to the Minimum Data Set (MDS), Version 3.0 for reporting the number of distinct therapy days. Finally, this final rule adopts a change to the diagnosis code used to determine which residents will receive the AIDS add-on payment, effective for services provided on or after the October 1, 2014 implementation date for conversion to ICD-10-CM.

摘要

本最终规则更新了2014财年熟练护理机构(SNF)按预期支付系统所使用的支付费率。此外,它对SNF市场篮子进行了修订和重新基数化,修订并更新了与劳动力相关的份额,并对法规文本进行了某些技术性和一致性修订。本最终规则还包括一项在某些有限情况下报告SNF市场篮子预测误差的政策,并在最低数据集(MDS)第3.0版中新增一项用于报告不同治疗天数的内容。最后,本最终规则对用于确定哪些居民将获得艾滋病附加支付的诊断代码进行了更改,该更改自2014年10月1日转换为ICD - 10 - CM的实施日期及之后提供的服务起生效。

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