Final answer:
Case Mix Groups (CMG) and Rehabilitation Impairment Categories (RIC) determine prospective reimbursement in SNFs (Skilled Nursing Facilities).
Step-by-step explanation:
The prospective reimbursement in SNF (Skilled Nursing Facility) is determined in part by Case Mix Groups (CMG) and Rehabilitation Impairment Categories (RIC).
Case Mix Groups (CMG) are a classification system that groups patients with similar clinical characteristics and resource needs in order to determine payment rates. Rehabilitation Impairment Categories (RIC) are used to define the level of impairment and intensity of therapy required for a patient. These factors play a significant role in calculating the reimbursement for services provided in SNFs.