Prospective Payment Systems (PPS)

The Centers for Medicare & Medicaid Services (CMS) April 4 issued its fiscal year (FY) 2024 proposed rule for the skilled nursing facility (SNF) prospective payment system (PPS).
The Centers for Medicare & Medicaid Services (CMS) on April 3 issued the proposed rule for the inpatient rehabilitation facility (IRF) prospective payment system (PPS) for fiscal year (FY) 2024. This rule would update IRF PPS payments relative to the current fiscal year, as required, along with…
Sens. Bob Casey, D-Pa., and Chuck Grassley, R-Iowa, have introduced the Rural Hospital Support Act (S.1110), AHA-supported legislation that would make permanent the Medicare-dependent Hospital program and enhanced low-volume Medicare adjustment for small rural prospective payment system hospitals.
The Centers for Medicare & Medicaid Services today instructed certified independent dispute resolution entities to resume making payment determinations for disputes involving items or services furnished on or after Oct. 25, 2022.
The AHA released a detailed summary of CMS' final rule for the calendar year 2023 home health prospective payment system.
Commenting today on the Centers for Medicare & Medicaid Services’ proposed calendar year 2023 payment rule for hospital outpatients and ambulatory surgical centers, AHA said it supports the agency’s decision to end its unlawful cuts to 340B hospitals and urged the agency to promptly restore…
The Centers for Medicare & Medicaid Services today issued its final rule for fiscal year 2023 for the skilled nursing facility prospective payment system.
The Centers for Medicare & Medicaid Services today issued a final rule for the inpatient rehabilitation facility prospective payment system for fiscal year 2023 with an estimated net increase of 3.2% ($275 million).
The CMS and ASPE draft unified payment model for the four post-acute care (PAC) settings contains numerous fundamental flaws which render it unworkable for both patients and providers.
The American Hospital Association (AHA) urges Congress to call on the Centers for Medicare & Medicaid Services (CMS) to make changes to the hospital inpatient prospective payment system (IPPS) proposed rule for fiscal year (FY) 2023 in order to ensure that Medicare payments for acute care…