Time Is Running Out on RUG System for Skilled Nursing Facility Reimbursement
It is currently anticipated that the RUG system, which is currently used to calculate reimbursement for Medicare Part A skilled nursing services, will be changed over the next year. CMS is currently considering a new Resident Classification System that will completely change the way SNFs are reimbursed for their services.
Providers are getting glimpses of what may be included in the new calculation system. CMS issued a draft sample worksheet using the RCS-1 system. The stated purpose is to give providers a description of how the new system would work. The worksheet gives a description of how a manual calculation would take place using the RCS-I methodology.
The sample draft worksheet that was issued by CMS is available here. RCS_I_Logic-508_Final
Source: Health Law Blog