2010 Payment System Updates at a Glance

The Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as health reform) has required the Centers for Medicare & Medicaid Services (CMS) to revise its final 2010 payment system rules in the past few months. As if keeping up with annual changes to the various payment systems isn’t enough, mid year changes can be overwhelming. To simplify matters, CMS has conveniently compiled all the changes made to the various payment systems due to health reform into one document.

Transmittal 726, Change Request (CR) 7029, issued July 8, outlines all the changes to the 2010 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital Prospective Payment System (LTCH PPS), Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) and Outpatient Prospective Payment System (OPPS) as a result of health reform.

The policy changes reflected in the transmittal are also available in various Federal Register notices for IPPS/LTCH PPS, OPPS and IRF PPS.

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