Medicare Part A PPS FY 2014 Tool Kit

Starting October 1, 2013 the new “FY2014 Rates” go into effect. You will be paid under the 66 category RUG IV system.

Please Note – The sequestration process enacted by congress is still in place and will be until congress acts on the Federal budget. The rates in this tool kit will be reduced by the sequestration amount and possibly by other actions taken by congress.

There are a variety of important changes identified in the Final Rule for FY2014 which you should study carefully. This tool kit focuses on the FY 2014 rates and the change in rates from FY2013 to FY2014.

Specific Instructions For Use of the PPS Tool Kit

Step 1 – Determine whether you are an “Urban” provider or a “Rural” provider, according to Medicare. To do this, look at page S-2 of your Medicare cost report. Page S-2 near the top should indicate the county you are located in, your CBSA # and whether you are designated as URBAN or RURAL. You must select the proper tool kit, either the Urban tool kit or the Rural tool kit.

Step 2 – Based on Step 1, select the version of the PPS Rate spreadsheet below:

Step 3 – CRITICAL STEP – 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 populate 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.

As always, feel free to call us if you have any questions. 888-66-AXIOM