IPPS Final Rule: CMS Addresses Allina Decision and Addresses New Medicare DSH Payment CalculationsThomas W. Coons
CMS finalized its proposal to exempt excepted off-campus provider-based outpatient departments of rural SCHs from the payment cuts initially adopted by CMS in the CY 2019 final rule. Under that 2019 rule, CMS paid the equivalent of the Physician Fee Schedule (PFS) payment rate f...
1. Fiscal year (FY) 2022 Medicare hospital Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) rates final rule (CMS-1752-F). CMS.gov. August 2, 2021. Accessed May 18, 2022. https://www.cms.gov/newsroom/fact-sheets/fiscal-year-fy-2022-medicare-hospital-in...
CMS proposes a formula multiplier of 1.35. CMS estimates that the application of the formula multiplier will result in an increase in IPPS payment of 5.5% for every approximately 10% increase in the hospital’s resident-to-bed ratio.
CMS has released its FY 2021 IPPS and LTCH proposed payment rule. Here’s high-level overview of its key provisions.
CMS addressed this issue in the August 19, 2008 IPPS final rule, stating that the EMTALA obligation ends with admission, even if the patient has not been stabilized. However, there have been several cases addressing whether EMTALA requirements continue to apply to patients after they have been ...
The IPPS final rule: a road map to future payment; Knowing where CMS is coming from will help you adjust to the new IPPS future.(The Complete Revenue Cycle from Cerner)Travis, John
CMS Issues Final FY 2016 Medicare IPPS/LTCH RuleDaubert, Gail
CMS Releases Proposed IPPS RuleMeredith N. Larson
Language stating that a hospital is required to maintain an on-call list in the best possible manner was removed by CMS. Ways for hospitals to meet the EMTALA requirement for maintaining an on-call physician list are cited.Christopher M. JedreyJ. Peter RichKerrin B. Slattery...