Prospective Payment Systems (PPS)

The Centers for Medicare & Medicaid Services issued a final rule for the long-term care hospital prospective payment system for fiscal year 2021. Under the rule, net payments for LTCHs will decrease by 1.1% (-$40 million) relative to FY 2020 payments.
The Centers for Medicare & Medicaid Services issued a final rule that will increase Medicare inpatient prospective payment system rates by a net 2.9% in fiscal year 2021, compared to FY 2020, for hospitals that are meaningful users of electronic health records and submit quality measure data.
The AHA urged the Centers for Medicare & Medicaid Services to reverse its calendar year 2021 Home Health Prospective Payment System Rate Update of 4.36% behavioral offset for the remainder of CY 2020 and beyond until all CY 2020 data are available for analysis.
The Centers for Medicare & Medicaid Services updated its guidance related to the 20% inpatient prospective payment system diagnosis-related group rate add-on for patients diagnosed with COVID-19.
The AHA today issued a Regulatory Advisory summarizing the CMS' inpatient rehabilitation facility prospective payment system final rule for fiscal year 2021.
The Centers for Medicare & Medicaid Services (CMS) yesterday issued the final rule for the inpatient rehabilitation facility (IRF) prospective payment system (PPS) for fiscal year (FY) 2021.
The Centers for Medicare & Medicaid Services released the calendar year 2021 outpatient prospective payment system/ambulatory surgical center proposed rule.
The Centers for Medicare & Medicaid Services (CMS) July 31 published a final rule for the inpatient psychiatric facility (IPF) prospective payment system (PPS) for fiscal year (FY) 2021. The rule will be published in the Federal Register Aug. 4.
The U.S. Court of Appeals for the District of Columbia Circuit reversed a district court decision that found the Department of Health and Human Services exceeded its statutory authority when it reduced payments for hospital outpatient services furnished in off-campus provider-based departments…
The Centers for Medicare & Medicaid Services issued its calendar year 2021 proposed rule for the home health prospective payment system.