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Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2024

FR Abstract

This final rule updates payment rates, including implementing the second phase of the Patient Driven Payment Model (PDPM) parity adjustment recalibration. This final rule also updates the diagnosis code mappings used under PDPM, the SNF Quality Reporting Program (QRP), and the SNF Value-Based Purchasing (VBP) Program. We are also eliminating the requirement for facilities to actively waive their right to a hearing in writing, treating as a constructive waiver when the facility does not submit a request for hearing.

Incorporation

FR Document Number

2023-16249

Federal Register Volume

Federal Register Year

2023-08-07

Federal Register Start Page

53200

Federal Register End Page

53347

Federal Agency

Health and Human Services Department

Federal Register Link

https://www.govinfo.gov/content/pkg/FR-2023-08-07/pdf/2023-16249.pdf

CFR Citation

42 CFR 413

FR Citation

88 FR 53200

CFR title

CFR Part

413

Document Number

HHS ONC Common Agreement Ver. 1

Document Edition

2022

Standard Title

Common Agreement for Nationwide Health Information Interoperability, Version 1 (HHS Office of the National Coordinator for Health Information Technology, January 2022)

SDO

U.S. Department of Health and Human Services

Standard Number Link

https://www.healthit.gov/sites/default/files/page/2022-01/Common_Agreement_for_…

Excerpts

Qualified Health Information Network Technical Framework Version 1 (incorporated by reference into the Common Agreement) establish the technical infrastructure â¦ beginning in FY 1995. The data used in developing the Federal rates also incorporated a Part B add-on, which is an estimate of the amounts that, prior to the â¦ and several States (including New Jersey, Tennessee, and Georgia) have incorporated the CoreQ into their Medicaid quality incentive programs. In addition

Record Source