final rule - Make Your Revenue Smarter

FY2024 IPPS and LTCH Final Rule

On , in Announcements, by AQ-IQ LLC

On August 1, 2023, the Centers for Medicare & Medicaid Services (CMS) issued the Fiscal Year (FY) 2024 Inpatient Prospective Payment Systems (IPPS) for Acute Care Hospitals and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Final Rule. Final changes to the Medicare Promoting Interoperability Program for eligible hospitals and critical access hospitals (CAHs) […]

CWTC [Episode 158] CMS Final Rules for 2023

On , in CWTC, by AQ-IQ LLC

Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions… Please log in to view this content.

IPPS and LTCH Final Rule FY2023, CAH Conditions of Participation

On , in Documents, by AQ-IQ LLC

Published August 10, 2022, this final rule will: revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals; make changes relating to Medicare graduate medical education (GME) for teaching hospitals; update the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for […]

COVID Vaccines and MMA COVID-19 Infusion Program

On , in Documents, by AQ-IQ LLC

Medicare Part B Payment for COVID-19 Vaccines and Certain Monoclonal Antibodies during the Public Health Emergency are found at CMS in the drug pricing section. We link to it below.  CMS has released a set of toolkits for providers, states and insurers to help the health care system prepare and assist in swiftly administering these products once […]

OPPS Final Rule CY2020

On , in Documents, by AQ-IQ LLC

The policies in the final rule will further advance the agency’s commitment to increasing price transparency. It includes requirements that would apply to each hospital operating in the United States.  This final rule implements Section 2718(e) of the Public Health Service Act and improves upon prior agency guidance that required hospitals to make public their […]

Physician Fee Schedule 2020

On , in Documents, by AQ-IQ LLC

On November 1, CMS issued a final rule that includes updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) effective on or after January 1, 2020. Payment Provisions: Ratesetting and conversion factor  CMS is finalizing a series of standard technical proposals involving practice expense, including […]

IRF PPS Final Rule FY2019

On , 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 , 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 , 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 […]