Search The Newsroom
SNF Medicare Rate Calculation Tools Update
Medicare Part-A Rate Tools 2017 Medicare Part-A SNF Rate Calculator Update (Final) - August 5, 2016 This tool calculates the SNF Medicare Part-A final rates for FY 2017, to be effective October 1, 2016. *Please note that the 2017 copay is not yet available as of this posting and the 2016 copay ($161) has been used as an estimate and placeholder for 2017. The calculator will be updated and revised when the 2017 copay is available. 2016 Medicare Part-A SNF Rate Calculator Update (Final and Proposed) Last year's transition to new wage index area delineations, with many counties being switched from rural to urban status and vice versa, is complete and the new core-based statistical areas (CBSAs) are now fully implemented. Users should remain aware that their rural or urban status may have shifted. When using the rate calculator, the first step will be for providers to look for their county in the drop-down menu on the urban worksheet. If the county is not listed on the urban worksheet, the nursing home is classified as being in a rural area and the rural worksheet would be used. This tool calculates the SNF Medicare Part-A Final Rates for 2016 (Final). This tool calculates the SNF Medicare Part-A Proposed Rates for FY 2016 (Proposed). 2015 Medicare Part-A SNF Rate Calculators (Proposed) Significant to this Rule is the change in definition of Metro areas to the new OMB definitions, with areas moving from urban to rural and vice versa. Some providers accustomed to looking on the rural tab may need to use the urban tab for their county, and some may change from urban to rural. CMS is phasing the change in over 2 years. An extra 'tab' is included in the spreadsheet to show the crosswalk from old to new CBSA. This tool calculates the SNF Medicare Part-A Proposed Rates for FY 2015 (Proposed). 2014 Medicare Part-A SNF Rate Calculation Tool (Final) This tool calculates the SNF Medicare Part-A Final Rates for FY 2014, reflecting provisions of the Bipartisan Budget Act signed into law in December of 2013. The law allowed for a 0.5% average increase in Medicare payment rates and extended the 2% sequestration cut for all health care providers for another two years, through 2023. The conversion factor has been updated in the model to reflect the 0.5% increase in the Bipartisan Budget Act, rather than the significant decrease that would have gone into effect without the new budget law. There is no sequestration calculation in the spreadsheet. The calculator calculates the full payment rate and says this about the sequestration: “For services provided on or after April 1, 2013, the 20% beneficiary co-pay is calculated as 20% of the full amount in the columns on the left. But due to the sequester, Medicare will only pay 98% of its share. Thus, the total amount (including the co-pay and Medicare's share) to be paid is .984 of the amounts in the columns on the left." Medicare Part-B Therapy Rate Tools Medicare Part-B Therapy Rate Calculation Tools 2017 Medicare Part B Therapy Rates, (Final Rule). 2017 Medicare Part B Therapy Rates, (Proposed Rule). 2016 Medicare Part B Therapy Rates, (Final Rule). 2016 Medicare Part B Therapy Rates, (Proposed Rule). 2015 Medicare Part B Therapy Rates, (Proposed Rule). 2015 Medicare Part B Therapy Rates (Final) – Update with Conversion Factor 2014 Medicare Part B Therapy Rates, New Therapy Reporting Requirements (Part B), & other matters (Final Rule). RUGs-IV Rate Calculation Tool for FY2013 (final rate) RUGs-Iv Rate Calculation tool: This tool calculates the SNF Medicare Part-A FINAL RATES FOR FY 2013, effective Oct. 1, 2012. RUGs-IV Rate Calculation Tool for FY 2012 (final rates) RUGs-IV 2012 Rate Calculation Tool: This tool calculates the SNF Medicare Part-A FINAL rates for FY 2012, effective Oct. 1, 2011. RUGs-IV 2011 / RUGs-IV 2012 FR Comparison Rate Tool©: This tool automatically calculates the difference in your total Medicare Part-A payment and the rate difference for each RUG from current FY 2011 RUGs-IV rates and the final 2012 RUGs-IV rates. The model was updated Aug 2, 2011. RUGs-IV Rate Calculation Tool for FY 2011 (final rates) RUGs-IV Rate Calculation Tool©: This tool calculates the SNF Medicare Part A payment for FY 2011, effective Oct. 1, 2010. RUGs-III / RUGs-IV Comparison Rate Tool: This tool will automatically calculate your total Medicare payments for FY 2010 and FY 2011 separately, and provide you with an estimate of the difference in payment as a consequence of the the new RUGs-IV implementation. The model (updated July 16, 2010) calculates rates using the +1.7% market basket update for FY 2011. This tool should be used after reviewing Getting Stated: Understanding RUGs-IV. Copyright © 2015 LeadingAge. All Rights Reserved. Any reproduction of these calculators or use thereof for commercial purposes without permission from LeadingAge is strictly prohibited.
Rate Calculator: Home Health Medicare Rates for CY 2018
We have updated our popular Home Health Agency (HHA) Medicare Rate Calculator to incorporate changes becoming effective Jan. 1, 2018. You will need to sign into My.LeadingAge to access the file, which is a Microsoft Excel document. The calculator is based ...
Drawing the Best Out of Our Workforce
How Better Direct Care Jobs Can Benefit Everyone
In the universe of workforce challenges that plague aging services, the recruitment, training and retention of direct care workers is by far the most difficult, and is likely to remain so if current demographic, regulatory and financial trends are maintained.
Understanding the Recruitment Challenge
Across the country, LeadingAge members are experiencing increasing difficulty in staffing their organizations with qualified workers capable of delivering high-quality care to residents and clients. “You have to chip away at it, because even small gains can have meaningful ...