Inpatient Prospective Payment Systems (IPPS)
More than three-quarters of the nation's inpatient acute-care hospitals are paid under the inpatient prospective payment system, while nearly a quarter are paid based on costs and are called Critical Access Hospitals. The IPPS pays a flat rate based on the average charges across all hospitals for a specific diagnosis, regardless of whether that particular patient costs more or less. Everything from an aspirin to an artificial hip is included in the package price to the hospital.
Members-only Webinar
The FY 2017 Inpatient PPS Proposed Rule: What You Need to Know
Monday, May 16 at 3 p.m. ET
CMS published its fiscal year (FY) 2017 proposed rule for the hospital inpatient prospective payment systems (IPPS) and long-term care prospective payment systems on April 18. Major provisions are described in this advisory.
The Centers for Medicare & Medicaid Services today issued proposed rules for inpatient rehabilitation facilities, skilled nursing facilities and hospice providers for fiscal year 2017.
CMS April 18 issued its hospital inpatient prospective payment system and long-term care hospital PPS proposed rule for fiscal year 2017.
Today's rule includes a very important outcome because it reverses the inappropriate and unfair 0.2 percent payment reduction for inpatient services that was implemented as part of the original "two-midnight" policy.
The Issue
The Affordable Care Act (ACA) required the Centers for Medicare & Medicaid Services (CMS) to penalize hospitals for “excess” readmissions when compared to “expected” levels of readmissions. Since the start of the program on Oct. 1, 2012, hospitals have experienced nearly $1.9 billion…
The Centers for Medicare & Medicaid Services yesterday issued a correction notice to the fiscal year 2016 inpatient and long-term care hospital prospective payment system final rule, which was published Aug. 17.