Psychiatric PPS

Advocacy update, news, and more. Download the cover note below. Read the June 2018 Behavioral Health Update here.
The Centers for Medicare & Medicaid Services (CMS) April 27 issued a proposed rule for the inpatient psychiatric facility (IPF) prospective payment system (PPS) for fiscal year (FY) 2019. CMS will accept comments on this rule through June 26. Key takeaways from the rule follow in the Advisory…
AHA letter to Ways and Means Committee regarding policy recommendations to address the opioid epidemic.
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Psychiatric PPS

Medicare pays for these services through the IPF prospective payment system, which uses pre-determined rates based primarily on the patient’s condition (age, diagnosis, comorbidities) and length of stay, and the location of the IPF. Medicare also provides additional payment for IPFs that are…
The AHA is disappointed that most of the proposed measures – especially the patient experience survey and EHR use measures – provide limited insight on the quality of the behavioral health and substance abuse treatments and services at the center of IPF care.