SNF Public Use File - AHCA Summary of Key Observations and Trends Impacting Skilled Nursing Facilities & How to Find the PUF Data About Your Center's Medicare Utilization

Recorded On: 03/16/2017

Many policymakers and government agencies have stated a belief that the SNF prospective payment system over-incentivizes therapy service delivery. Provider utilization patterns are often scrutinized to identify potential areas to target medical review efforts, but until recently, provider utilization patterns were not subject to public review. On January 18, 2017, the Centers for Medicare and Medicaid Services (CMS) released a public use file (PUF) that provides facility-specific, state, and national aggregate information about the Medicare SNF prospective payment system (PPS) utilization for calendar year (CY) 2014.

These files, part of the CMS transparency initiative, can be easily downloaded by the public, and contain facility-specific information. The file details include the facility name, address, SNF PPS resource utilization group (RUG) patient volume, number & length of Medicare stays, charges & payments, beneficiary characteristics, and percent of therapy assessments within 10 minutes of the minimum qualifying threshold.

This program will explain what the SNF PUF is, why it is important, and what type of information is presented in the PUF. Additionally, the program will include highlights of key observations and trends observed in the PUF data overall. Finally, you will learn how you can access the PUF files, and identify your facility-specific data reported in the PUF, to see where your SNF PPS patient population and utilization trends compare to other SNFs.

Speaker: 

Dan Ciolek
Associate Vice President
Therapy Advocacy
AHCA

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