Inpatient Prospective Payment Systems (IPPS)

AHA provides input to CMS on how to better assist patients in accessing pricing information for health care services.
The Centers for Medicare & Medicaid Services (CMS) April 24 released its fiscal year (FY) 2019 proposed rule for the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). A detailed summary of the proposed rule follows in the Regulatory Advisory below.
AHA has created a VBP calculator for hospital leaders to assess the impact of the VBP program on their organizations. The calculator is designed so that you enter your hospital's CMS Certification Number; the calculator will then estimate your net VBP gain or loss. The FY 2019 Proposed Rule…
AHA has created a readmissions penalty calculator for hospital leaders to assess the impact of the Hospital Readmissions Reduction Program on their organizations. The calculator is designed so that you enter your hospital's CMS Certification Number; the calculator will then estimate your…
AHA has created a Medicare operating DSH calculator for hospital leaders to estimate hospitals’ operating DSH payments – both the empirical portion as well as the uncompensated care payment amounts. The calculator is designed so that you enter your hospital's CMS Certification Number; the…
CMS today took several steps that would help deliver on its promise to ease regulatory barriers and allow America’s hospitals and health systems to better provide high-quality, efficient patient care. Last year, the AHA released a new analysis showing that providers spend nearly $39 billion a year…
Hospital-Acquired Conditions (HAC) Penalty Calculator FY 2017 Inpatient PPS Final Rule (Uses HAC List Posted by CMS in Dec. 2016)
AHA has created a VBP calculator for hospital leaders to assess the impact of the VBP program on their organizations. The calculator is designed so that you enter your hospital's CMS Certification Number; the calculator will then estimate your net VBP gain or loss. The FY 2019 and 2020 Final Rule…