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AAPM&R Comments on CMS 2017 SNF PPS Proposed Rule

Jun 30, 2016

On April 25, the Centers for Medicare & Medicaid Services (CMS) issued the proposed rule for the skilled nursing facility (SNF) prospective payment system (PPS) fiscal year (FY) 2017 update. In a comment letter submitted on June 20, the Academy urged CMS to instruct the Medicare Administrative Contractors (MACs) that denying coverage and payment for physician visits to Medicare beneficiaries that occur in a SNF at a frequency greater than 1 visit per month, prevents access to the medically-necessary rehabilitation care needed by SNF patients, and puts additional strain on the health care system by increasing patient length of stay in a SNF. Additionally, the Academy urged CMS to delay its proposal to adopt any quality measures that have not been fully assessed to determine if the measures will have a positive impact on health care quality, are scientifically acceptable, are applicable and relevant for quality improvement and decision making, and feasible to collect without undue burden. The Academy also signed on to the Coalition to Preserve Rehabilitation (CPR) SNF comment letter that aligned closely with our comments.