CMS Proposes New PPS for FQHCs
- By admin aapc
- In CMS
- September 30, 2013
- Comments Off on CMS Proposes New PPS for FQHCs
In a proposed rule released Sept. 18, the Centers for Medicare & Medicaid Services (CMS) recommends a new prospective payment system (PPS) for federally-qualified health centers (FQHCs). CMS estimates FQHCs will see an approximate 30 percent pay increase for Medicare Part B services paid under the new PPS, which the Affordable Care Act directs CMS to implement beginning Oct. 1, 2014.
Payment is a single encounter-based per diem rate, per Medicare patient. This rate would be calculated based on the average cost per encounter, estimated to be $155.90.
The new PPS also would take into account and make rate adjustments for the type, intensity, and duration of FQHC services, as well geographic location.
Coinsurance would be 20 percent of the provider’s charge or the PPS encounter rate, whichever is less.
The proposed rule will appear in the Sept. 23 Federal Register. CMS is accepting public comment until Nov. 18.
- Do You Have a Documentation Emergency? - April 3, 2023
- Correctly Identify Low Back Pain - March 1, 2023
- How to Optimize the RCM Process - February 1, 2023
From what I understand only the hospitals will see an increase in the Rural health part B? This doesn’t apply to the Rural health clinics?