|
|
Article: Assessing the RUG-III resident classification system for skilled nursing facilities.
- Article from:
- Health Care Financing Review
- Article date:
- December 22, 2002
- Author:
CopyrightCOPYRIGHT 2002 U.S. Department of Health and Human Services. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
|
INTRODUCTION
As mandated by the Balanced Budget Act of 1997, the Health Care Financing Administration on July 1, 1998 began phasing in a prospective payment system (PPS) for Medicare-covered stays in SNFs. The prospective payment is meant to cover nearly all costs of providing care, including routine service, ancillary and capital-related costs, with only a few exceptions such as physician services. The Balanced Budget Act of 1997 requires that payments be adjusted for case mix using a "resident classification system, established by the Secretary [of Health and Human Services], that accounts for the relative resource utilization of different patient types" (U.S. ...