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News and Updates
Although no formal proposed rule has been issued, CMS in July requested feedback on the possibility of replacing the current RUG Version 4 case-mix classification model with a new model called the Resident Classification System, Version I, known as RCS-I (read background on development of the model).
The RCS-1 model is intended to move SNF payment away from service-based models and tie it to resident characteristics. However, among other concerns, CMS has acknowledged that RCS-I may incentivize SNFs to reduce therapy services to increase margins. APTA submitted comments opposing implementation of the model, and urged CMS not to move forward until first engaging in extensive discussion with stakeholders, including APTA, in advance of releasing any proposed rule.
APTA Fact Sheets and Summaries