Long-Term Care

Error in processing SNF claims

MDS 3.0 Insider, February 7, 2011

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CMS recently announced that they had made an error with a non-labor share percentage used for calculation of SNF and Swing Bed (SB) PPS payments for fiscal year 2011. This error caused all SNF and SB claims from October 1, 2010 until now to generate lower payments for RUG rates. Ultimately, this error resulted in per diem RUG rates that were a penny to five cents short of what was published in the Federal Register. CMS is in the process of correcting this percentage in the SNF Pricer and, once fixed, contractors will begin adjusting all paid claims with discharge dates on or after October 1, 2010. However, the adjustment process may take up to 8-10 weeks. 



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