If Microsoft Excel 5.0 or higher is installed on your PC, and your Swing Bed or SNF is reimbursed at 100% of the federal rate, you can now calculate your facility's SNF and/or Swing Bed PPS RUG rates.
The dates listed below relate to the rates applicable to inpatient SNF PPS services provided on or after that date, and to Swing Bed PPS services on or after 07/01/2002.
Simply click on the desired period and then select your facility's county or MSA area from the drop-down box.
Important: Be sure to enable macros/content in Microsoft Excel
This will appear as a yellow ribbon at the top of Microsoft Excel. This spreadsheet relies on these macros.
Click here for help working with these files in Microsoft Excel.
Visit the CMS website for additional resources on Skilled Nursing Facility (SNF) Prospective Payment System (PPS) RUG Rates.
For prior periods or transition period updates for SNFs, you may request the necessary schedules from Courtney Mager at 412-802-1802 or Courtney.Mager@novitas-solutions.com.
³ Per the Federal Register dated 08/08/08, two New England counties (Litchfield County, CT and Merrimack County, NH) are deemed to be rural areas effective 10/01/08 for the purpose of SNF PPS.
² Per the Federal Register dated 11/30/2007, SNF wage index values for 2 CBSAs were changed effective 01/01/2008. Therefore, for periods during Federal Year 2008, a Rug calculator update for 01/01/2008, is only necessary for the following 2 CBSAs: (16180) Carson City, Nevada; (39900) Reno-Sparks, Nevada.
¹ Per the Federal Register dated 12/30/2004, SNF wage index values for 9 MSAs were changed effective 01/01/2005. Therefore, for periods during Federal Year 2005, a RUG calculator update for 01/01/2005 is only necessary for the following 9 MSAs: (3960) Lake Charles, LA; (4280) Lexington, KY; (5000) Miami, FL (5380); Nassau-Suffolk, NY (5600); New York, NY; (6780) Riverside-San Bernardino, CA; (8780) Visalia-Tulare-Portersville, CA; (8960) West Palm Beach-Boca Raton, FL; (9040) Wichita, KS.
SNFs and Swing Beds newly certified to the Medicare program, or transferred from other Medicare Fiscal Intermediaries to Novitas Solutions, will receive instructions in the mail on how to access this website and obtain SNF and/or Swing Bed PPS RUG rates.