FY2022 SNF PPS Final Rule plus COVID-19 Waiver Refresher

August 20, 2021


This presentation contains very important information that every NHA and Clinical leader should understand regarding the SNF PPS Final Rule for FY2022, including:

  • FY 2022 Updates to the SNF Payment Rates
  • Wage Index Adjustments
  • Methodology for Recalibrating the PDPM Parity Adjustment
  • Administrative Level of Care Presumption of Coverage
  • Changes in PDPM ICD-10 Code Mappings
  • Skilled Nursing Facility Quality Reporting Program (SNF QRP) Update
  • Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program
  • Financial Impact

In addition to walking the attendees through each of the above changes and the FY2022 SNF PPS updates, this webinar will provide much requested information about which waivers are still in effect related to COVID-19 and examples of when nursing homes can use these waivers.

Learning Objectives:
1. State one change to ICD-10-CM coding that will impact PDPM payment.
2. Report the FY2022 SNF Payment rate increase along with other factors that will impact that payment.
3. List 2 new SNF QRP measures that will begin data collection during FY 2022.
4. Explain how the SNF Medicare payment will be impacted by SNF VBP for this fiscal year.



Carol Maher is a Board Certified Gerontological Registered Nurse with over 30 years of long term care experience and has worked in long term care in many roles. She worked as the MDS Coordinator in a 300 bed SNF in Pennsylvania for 8 years before moving to CA to become the MDS Coordinator/Director for a 1200 bed SNF in San Francisco. She has also worked as the MDS Coordinator in a SNF that typically had 60-75 residents on Medicare in addition to 160 long-term care residents. Most recently she was the Senior VP of Utilization Services and Director of Reimbursement for large multi-facility organizations.

Carol has worked as one of the Gold Standard nurses for MDS 3.0, serving on the RAP workgroup to prepare the way for the CAAs for MDS 3.0, and participating on a number of Technical Expert Panels related to MDS, Quality Measures and care planning. A sought-after speaker, she has given presentations at AANAC, AHCA and Leading Age national conferences as well as many state organization presentations. She is also a frequent author of articles related to the RAI process and PPS. Carol served as a member of the AANAC Board of Directors for 9 years. She is presently serving as the chair of the AANAC Expert Advisory Panel and as an AANAC Master Teacher of the RAC-CT and RAC-CTA certification courses. Ms. Maher is the Director of Education for Hansen Hunter & Co. P.C., providing MDS and Medicare classes across the country, presenting monthly educational webinars and completing compliance audits. She is the author of Long-Term Care MDS Coordinator’s Field Guide (HCPRO 2016).

Credit Hours

  • 1.25 credit hours for RNs
  • 1.25 credit hours for NABs

This pre-recorded webinar expires on October 1, 2022.


Hansen Hunter & Co. P.C. clients are invited to access any of our webinars for free by contacting Allison Johnson at our office at 503.244.2134 to receive your free registration code.


  • This nursing continuing professional development activity was approved by Montana Nurses Association, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation.
  • This topic actually took 1.75 hours to present, but the approval for 1.25 hours had been approved before the additional slides were added.
  • Enduring material: To meet the requirements for these contact hours, you must watch the entire recorded presentation as well as answer and submit the post-test evaluation that is provided as a link along with the link to your webinar which you will receive via email after completing your purchase.