IRF PPS Final Rule FY2019

On April 18, 2019, in Documents, by AQ-IQ LLC

This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2019. As required by the Social Security Act (the Act), this final rule includes the classification and weighting factors for the IRF prospective payment system’s (PPS) case-mix groups and a description of the methodologies and data used […]

IPPS and LTCH Final Rule FY2019

On October 8, 2018, in Documents, by AQ-IQ LLC

On August 2, 2018, CMS released the Final Rule for IPPS and LTCH for FY2019. Corrections were issued September 28, 2018. We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2019. […]

IPPS and LTCH Final Rule FY2018

On August 8, 2017, in Documents, Industry News, by AQ-IQ LLC

In this final rule, CMS is increasing the amount of uncompensated care payments made to acute care hospitals by $800 million to approximately $6.8 billion for fiscal year 2018. Uncompensated care represents healthcare services provided by hospitals or providers for which they don’t get reimbursed. Often uncompensated care arises when people don’t have insurance and […]

Final Rule: Home Health Agencies Conditions of Participation

On January 31, 2017, in Announcements, by AQ-IQ LLC

This final rule revises the conditions of participation (CoPs) that home health agencies (HHAs) must meet in order to participate in the Medicare and Medicaid programs. The requirements focus on the care delivered to patients by HHAs, reflect an interdisciplinary view of patient care, allow HHAs greater flexibility in meeting quality care standards, and eliminate […]

Final Rule: Home Health Care Conditions of Participation (July, 2017)

On January 10, 2017, in Documents, by AQ-IQ LLC

CMS has finalized rules governing home health agencies that will improve the quality of health care services for Medicare and Medicaid patients and strengthen patients’ rights. These Medicare and Medicaid Conditions of Participation are the minimum health and safety standards a home health agency must meet in order to participate in the Medicare and Medicaid […]

IPPS Final Rule FY2017

On August 2, 2016, in Archives, Documents, Industry News, by AQ-IQ LLC

CMS issued a final 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 final rule, which would apply to approximately 3,330 acute care hospitals and approximately 430 LTCHs, applies for discharges occurring on or […]

SNF PPS Final Rule FY2017

On August 1, 2016, in Announcements, Documents, by AQ-IQ LLC

This Final Rule addresses the Skilled Nursing Facility Prospective Payment System and Consolidated Billing as well as the SNF Value-Based Purchasing Program, the SNF Quality Reporting Program, and SNF Payment Models Research. Read the Final Rule in the Federal Register for August 5, 2016  

IRF PPS Final Rule FY2017

On August 1, 2016, in Announcements, Documents, Industry News, by AQ-IQ LLC

This Final Rule revises and updates payment rates, quality measures and reporting requirements. It includes explanations of the methods used to make these changes. Read the IRF PPS Final Rule in the Federal Register for August 5, 2016 Data Files are available on this page at CMS.gov

OPPS Final Rule 2016

On November 5, 2015, in Archives, by AQ-IQ LLC

The 2016 OPPS Final Rule (effective January 1, 2016) is now available. Here’s the first paragraphs: This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2016 to implement applicable statutory requirements and changes arising from our continuing experience […]