Monday, October 9, 2017

CMS Releases Update to Skilled Nursing Facility Utilization and Payment Data

Dan Ciolek

On October 3, the Centers for Medicare and Medicaid Services (CMS) posted the calendar year (CY) 2015 Skilled Nursing Facility Public Use File (SNF PUF). The SNF PUF presents summarized information on Medicare Part A SNF prospective payment system (SNF PPS) services provided to Medicare beneficiaries. It contains information on utilization, payment (Medicare payment and Medicare standardized payment), submitted charges, and beneficiary demographic and chronic condition indicators organized by CMS Certification Number (6-digit provider identification number), Resource Utilization Group (RUG), and state of service.

The new 2015 PUF (similar to prior CY 2013 and CY 2014 SNF PUFs) has information for 15,030 skilled nursing facilities, over 2.5 million stays, and over $27 billion in Medicare payments for 2015. As in the previous version, demographic and chronic condition information is included in this release.  CMS protects beneficiaries’ personal information in all public data releases and these files do not contain information from SNFS with fewer than 11 Part A stays, or in data fields with fewer than 11 beneficiaries.

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