Medicare Part A PPS FY 2012 Tool Kit
Starting October 1, 2011 the new Medicare “FY2012 Rates” go into effect. You will be paid under the 66 category RUG IV system.
There are a variety of important changes identified in the Final Rule for FY2012 which you should study carefully. This tool kit focuses on the change in rates from FY2011 to FY2012.
Axiom Healthcare Group has developed a set of PPS Rate Tools for the FY2012 RUG IV system. The instructions for using these tools are listed below:
Step 1 — Determine whether you are an “Urban” provider or a “Rural” provider, according to Medicare. To do this, look at your cost report and find the CBSA # and designation, or, use the list of California Counties to find your designation (urban or rural) and your CBSA Number .
Clicking on the links above will open the selected spreadsheet
Step 3 — CRITICAL STEP – You must select the county your SNF is located in. To do this, place your cursor on the box next to the word “County” and click on the drop down arrow. Now, select your county. The rates for your CBSA (your county) will then populate into the spreadsheet.
Step 4 — Optional – if you want to type in your facility name and provider number there are places to do that. Also, if you want to input the number of days you will have in each category and estimate your total revenue, you may do that as well.
If you have any questions please call us at 888-66-AXIOM or contact us through the form on this webpage.