Apr 24th, 2019
The Centers for Medicare & Medicaid Services (CMS) released on April 23 proposed policy changes and rates for the 2020 Inpatient Prospective Payment System (IPPS) and Long-term Care Hospital Prospective Payment System (LTCH PPS). The proposed payment updates for 2020 are: 2.7% for hospitals that submit quality data and are meaningful EHR users 0.3% for ...
In CMS
Apr 25th, 2018
A proposed rule issued April 24 provides an advance look at pending updates to Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) for fiscal year 2019. Proposed changes that make it into the final rule, usually released in August, will apply to approximately 3,330 acute ...
In Billing
Dec 13th, 2017
In case you were unaware of proper billing of services for Medicare patients in a covered Part A inpatient stay, here is a refresher. Medicare will not pay acute-care hospitals for outpatient services provided to patients in a covered Part A inpatient stay at another facility. This includes Medicare patients who are inpatients of long-term ...
In CMS
Jan 23rd, 2017
A doctor’s Hippocratic oath isn’t good enough for the Centers for Medicare & Medicaid Services (CMS): they need proof that every service a beneficiary receives is medically necessary. This proof comes in the form of diagnostic codes reported on claims, backed by observations documented by the doctor. Coding and documentation that don’t align can cost ...
Dec 18th, 2016
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update fiscal year (FY) 2017 Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS). The proposed rule, which CMS says would apply to approximately 3,330 acute care hospitals and ...