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August 3, 2007

ShareMedicare Program: Prospective Payment System & Consolidated Billing for Skilled Nursing Facilities for Fiscal Year 2008

The new rules are effective as of October 7, 2007. The rate increase will also be applied to hospitals providing certain skilled nursing and rehabilitation care to Medicare beneficiaries recovering from serious health problems. The new payment rates also continue to include a special adjustment made to cover the additional services required by nursing home residents with HIV/AIDS. However, the co-morbidity provision of the 75% Rule, which specifies at least 75% of an SNFs Medicare eligible-patients must have one of 13 specified chronic conditions, will end.

 

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