Skilled Nursing Facility (SNF) Billing Reference
SNF Payment. Medicare Part A. The SNF Prospective Payment System (PPS) pays for all SNF Part A inpatient services. Part A payment is . primarily based on the Resource Utilization Group (RUG) assigned to the beneficiary following required Minimum Data Set (MDS) 3.0 assessments. As a part of the Resident Assessment Instrument (RAI), the MDS 3.0 is
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www.cms.govUnder the skilled nursing facility prospective payment system (SNF PPS), from October 1, 2010 to September 30, 2019, a case-mix adjusted payment for varying numbers of days of SNF care was made using one of 66 Resource Utilization Groups, Version IV (RUG-IV). These groups replaced the RUG-III system, which was in effect from 1998 to 2010.
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