Skilled Nursing Facility Value-Based Purchasing Program: Frequently Asked Questions

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare®

CMS has just posted a SNF Value-Based Purchasing Program FAQ document.

“The Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program awards incentive payments to SNFs based on their performance on the Program’s measure of readmissions. SNF VBP payment incentives will be included on Medicare Part A claims paid under the SNF Prospective Payment System (PPS) as a single line item on each claim paid during the Fiscal Year(FY); no separate payment will be made. SNF VBP incentive payments do not apply to any other type of claims (such as Medicare Advantage claims, Medicaid claims, or Medicaid managed care claims). Beginning on October 1, 2018, which is the start of FY 2019, the Program will begin awarding incentive payments to SNFs based on performance on the SNF 30-Day All-Cause Readmission Measure (SNFRM) (NQF #2510).”

Here is the Table of Contents that shows the questions asked and answered by this document:

SNF TOC

Additional information links are found throughout the document as well as on page 5.