Prospective Payment Systems (PPS)

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.
The Medicare Payment Advisory Commission issued its June report to Congress on refinements to Medicare payment systems and issues affecting the Medicare program, including broader changes in health care delivery and the market for health care services.
AHA submitted comments on the Centers for Medicare & Medicaid Services’ proposed rule on the inpatient rehabilitation facility prospective payment system for fiscal year 2021.
Beginning July 1, certain hospital outpatient department services require prior authorization for payment under the Medicare hospital outpatient prospective payment system final rule for calendar year 2020.
Hospitals have until May 29 to verify their wage data in the wage index public use files released in April, notify the Centers for Medicare…
AHA statement on FY 2021 proposed IPPS rule from Executive Vice President Tom Nickels.
The Centers for Medicare & Medicaid Services issued its fiscal year 2021 proposed rule for the inpatient rehabilitation facility prospective payment system.
The Centers for Medicare & Medicaid Services issued a proposed rule for the inpatient rehabilitation facility prospective payment system for fiscal year 2021.
The Centers for Medicare & Medicaid Services April 10 issued a proposed rule for the inpatient psychiatric facility prospective payment system for fiscal year 2021. CMS proposes to increase IPF payments by a net 2.4%, equivalent to $100 million, in FY 2021.