On April 18th, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (2023) proposed Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System rule. See the press release here. CMS has provided a rule overview fact sheet and maternal health fact sheet relating to [...] Read More
On the evening of December 17, 2021, the Centers for Medicare & Medicaid Services (CMS) released a follow-up to its final rule, Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Final Policy Changes and Fiscal Year 2022 Rates,[1],[2] which addresses policies that were proposed but [...] Read More
On the evening of October 28, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a press release, fact sheet, and an unpublished interim final rule with comment period (IFC) on its website related to the COVID-19 public health emergency (PHE). The IFC interprets and implements CARES Act requirements regarding COVID-19 immunizations and treatments, [...] Read More
On the evening of September 2, 2020, the Centers for Medicare & Medicaid Services (CMS) released its final rule, Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Final Policy Changes and Fiscal Year 2021 Rates (link), which updates the FY 2021 payment systems for [...] Read More
On the evening of May 11, 2020, the Centers for Medicare & Medicaid Services (CMS) released the fiscal year (FY) 2021 proposed rule for inpatient hospitals and long-term care hospitals (LTCHs). The rule includes Medicare’s annual payment update as well as policies related to quality measurement, new technology add-on payments (NTAP), and CAR T-cell therapies. [...] Read More
Tweet On August 2, 2019, the Centers for Medicare and Medicaid Services (CMS) released the final FY 2020 payment rule for hospital inpatient departments and long-term care hospitals. The rule includes the payment update for both types of facilities as well as policies for new technology add-on payments, graduate medical education, and the hospital wage [...] Read More
On April 23, 2019, the Centers for Medicare and Medicaid Services released the fiscal year (FY) 2020 proposed rule for payments to hospital inpatient departments and long-term care hospitals (LTCHs). The rule outlines proposed payment policy for hospitals and LTCHs beginning with October 1, 2019. Proposals related to new technology add-on payments, graduate medical education, [...] Read More
On November 21 2018, Health and Human Services’ Office of Inspector General (HHS-OIG) released a report, titled “Significant Vulnerabilities Exist in the Hospital Wage Index System for Medicare Payments”, which describes their examination of the wage index system for acute-care hospitals. The objective of their analysis was to identify “significant vulnerabilities” and propose solutions to […]
Read MoreEffective January 1, 2019, The Affordable Care Act has required each hospital to publish, update, and make public a list of its standard charges for items and services provided by each hospital; this includes diagnosis related groups (DRGs). In CMS’ 2019 Proposed Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) Rule and 2019 […]
Read MoreOn the evening of April 24th, the Centers for Medicare and Medicaid Services (CMS) released the proposed rule for the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes. The rule outlines payment policy for hospitals beginning October 1, 2018 (FY 2019) and […]
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