SNF Services Balanced Budget Act Provisions Changes mandated by the Balanced Budget Act of 1997 have resulted in the elimination of cost-based reimbursement for skilled nursing facilities on or after July 1 st , 1998. With the advent of the prospective payment system, a certain case mix gives a certain payment for all of the systems and processes involved in caring for residents.
Chaos creates opportunity.
While the costs of services and supplies are being examined, the quality of wound care can actually increase in skilled nursing facilities that focus on early and aggressive treatment, standardization of practices, and better product selection. This provision includes services afforded in any geographic location or clinical setting.