IPPS and LTCH Final Rule FY2019

On October 8, 2018, in Documents, by pam

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. […]

CWTC [Episode 38] IGC Selection, MCRP in PCS, Infusion vs Hydration

On May 21, 2018, 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 for Health Information Management professionals, physicians, auditors, payors and students. You are invited to listen in for ten minutes every other Monday and to submit your favorite questions or comments for Coffee with the Coder® […]

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 […]

IPPS and LTCH Proposed Rule FY2018

On April 17, 2017, in Documents, by AQ-IQ LLC

On April 14, 2017, the Centers for Medicare & Medicaid Services  issued a proposed rule that would update 2018 Medicare payment and polices when patients are admitted into hospitals. The proposed rule aims to relieve regulatory burdens for providers; supports the patient-doctor relationship in health care; and promotes transparency, flexibility, and innovation in the delivery […]

IPPS and LTCH Proposed Rule FY2017

On April 28, 2016, in Archives, by AQ-IQ LLC

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) on April 18, 2016. The proposed rule, which would apply to approximately 3,330 acute care hospitals and approximately 430 LTCHs, would affect […]

IPPS Final Rule FY2015

On October 1, 2014, in Archives, by AQ-IQ LLC

According to CMS, some of the changes implement certain statutory provisions contained in the Affordable Care Act and other legislation.  These changes are applicable to discharges occurring on or after October 1, 2014, unless otherwise specified in this final rule.  There are updates to the rate of increase limits for certain hospitals excluded from the IPPS that are […]

IPPS Proposed Rule FY2015

On May 2, 2014, in Archives, by AQ-IQ LLC

CMS issued a proposed rule on April 20, 2014 that would update fiscal year (FY) 2015 Medicare payment policies and rates for inpatient stays at general acute care and long-term care hospitals (LTCHs).  This rule builds on the Obama administration’s efforts through the Affordable Care Act to promote improvements in hospital care that will lead […]

2014 IPPS Proposed Rule Issued

On April 26, 2013, in Industry News, by AQ-IQ LLC

FY 2014 Payment Update The proposed rule would increase IPPS operating rates by 0.8 percent after accounting for inflation and other adjustments required by the law.  This proposed increase also reflects a proposed temporary reduction of 0.8 percent to implement the American Taxpayer Relief Act’s requirement to recoup overpayments from prior years as a result […]

Proposed Rule for IPPS and LTCH Announced

On April 24, 2012, in Industry News, by AQ-IQ LLC

CMS today issued a proposed rule that would update Medicare payment policies and rates for inpatient stays to general acute care hospitals paid under the Inpatient Prospective Payment System (IPPS) and long-term care hospitals (LTCHs) paid under the LTCH Prospective Payment System (PPS). This proposed rule is a continuation of our efforts to promote improvements […]