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The patient case mix (showing the number of resources typically needed for each patient’s clinical condition identified during the resident assessment process) using the Patient Driven Payment Model (PDPM) patient classification system We update federal rates annually to reflect changes in: Cost of goods and services SNFs purchase to provide care using the SNF market basket index We include a forecast error adjustment when the difference between forecast and actual changes in the market basket exceeds a 0.5% threshold for the most recently available final FY data

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