Skilled Nursing Facility reimbursement alerts

CMS is establishing a new Privacy Act System of Records (09-70-0545) titled 'Nurses for Nursing Homes Program (NNHP)' to support a nursing workforce incentive program for Medicare and Medicaid-certifi

This transmittal updates the Medicare Part A SNF PPS Web Pricer tool, effective October 5, 2026, under CR 14545. Billing teams should prepare for updated SNF prospective payment rates to be reflected

CMS finalizes the SNF Prospective Payment System payment rates and policies for FY2027, effective October 1, 2026. The rule updates consolidated billing requirements, Quality Reporting Program (QRP) m

This transmittal (R503PR1) updates Table 38 in Section 2231 to correct Regional Medicare Swing-Bed Rates. Billing teams processing swing-bed claims should reference the corrected rate table immediatel

This transmittal (R530PR1) corrects the Medicare swing-bed rates in Section 2231, specifically updating Table 38 with revised Regional Medicare Swing-Bed rates. Billing teams should verify that swing-

The repeal of minimum staffing standards for long-term care facilities may negatively impact reimbursement due to potential declines in quality of care, influencing claims and patient outcomes. This c

The correction of technical errors in the FY 2025 SNF final rule will ensure accurate implementation of the Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities. This may

The correction of typographical and technical errors in the Minimum Staffing final rule is crucial for ensuring accurate implementation of minimum staffing standards in long-term care facilities. This

The new Medicare rule updates the COVID-19 testing and vaccination requirements for LTC facilities, ensuring that residents, clients, and staff have access to vaccine education and offerings. Removing

The proposed rule mandates enhanced transparency regarding ownership and managerial structures within skilled nursing facilities participating in Medicare and Medicaid programs. This could lead to cha

The proposed updates to the Skilled Nursing Facility (SNF) Prospective Payment System will likely affect reimbursement rates and quality metrics for FY 2027. Facilities must adapt to these changes to

The final rule for FY 2026 introduces significant updates to the Skilled Nursing Facility (SNF) payment rates and quality reporting requirements. These changes are expected to affect reimbursement str

The proposed updates to the Skilled Nursing Facility Prospective Payment System for FY 2026 could significantly impact reimbursement rates and quality reporting requirements. SNFs will need to adapt t

The updates to the Skilled Nursing Facility Prospective Payment System for FY 2025 will enhance payment accuracy and reflect updated census data, directly impacting reimbursement rates. The revisions

The new minimum staffing standards for long-term care facilities will likely increase operational costs for these facilities, impacting their reimbursement rates under Medicaid. As states report the p

The proposed rule for FY 2025 under the Skilled Nursing Facility Prospective Payment System suggests significant updates that may impact reimbursement rates and coding accuracy. By revising the market

The new rule requires enhanced disclosure of ownership and managerial information for skilled nursing facilities (SNFs) and other nursing facilities, which may affect reimbursement processes by increa

The proposed rule may influence reimbursement structures by enforcing minimum staffing standards, potentially increasing operational costs for long-term care facilities. Additionally, the requirement

The updates to the PDPM parity adjustment will affect reimbursement rates for Skilled Nursing Facilities (SNFs), potentially increasing or decreasing payments based on the new diagnosis code mappings.

The proposed rule introduces updates to Medicare payment rates for Skilled Nursing Facilities, particularly through the second phase of the Patient Driven Payment Model (PDPM) recalibration. These cha

This transmittal updates Chapter 49, which pertains to Skilled Nursing Facilities (SNFs). Billing teams should review any changes related to SNF services as they will affect billing practices going fo

2026 Skilled Nursing Facility PPS — official CMS fee schedule. Effective January 1, 2026.