CMS Issues Corrections to FY24 SNF PPS Final Rule Impacting Rates

The Centers for Medicare & Medicaid Services (CMS) issued a Correction Notice that applies to the Fiscal Year (FY) 2024 Skilled Nursing Facility Prospective Payment System (SNF PPS) final rule​ published August 7. Although the resulting changes represent only pennies per day, the corrections impact nearly all PDPM urban and rural component rate tables and the rural wage index table. Additionally, three corrections were made to the FY24 PDPM ICD-10 mappings file. The effective date for these corrections is retroactive to dates of service beginning October 1, 2023. Provider front office and MDS staff should review the changes and confirm with your software vendors that the updates were applied prior to submitting Medicare Part A claims, or other payer claims using PDPM payment methodologies, for dates of service on or after October 1, 2023. 

Action Needed: Providers should verify with MDS and billing software vendors that updates have been applied before submitting October 2023 claims.