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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 […]

IPPS and LTCH Proposed Rule FY2021

On , in Announcements, Documents, by AQ-IQ LLC

On May 11, 2020, the Centers for Medicare & Medicaid Services (CMS) proposed a rule that focuses the agency’s efforts on a singular objective: transforming the healthcare delivery system through competition and innovation to provide patients with better value and results. The proposed rule would update Medicare payment policies for hospitals under the Inpatient Prospective […]

IPPS and LTCH Proposed Rule FY2020

On , in Documents, by AQ-IQ LLC

This proposed rule would update Medicare payment policies for hospitals under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) for fiscal year 2020 and advances two key CMS priorities, “Rethinking Rural Health” and “Unleashing Innovation,” by proposing historic changes to the way Medicare pays hospitals. The inpatient […]

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. […]

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

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 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 , 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 , 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 , 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 , 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 […]