Tag Archives: IPPS proposed rule

Via: CMS’s FY 2017 Proposed IPPS Rule: Key Takeaways

Key changes in the CMS FY 2017 Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS). Continue reading

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Via: CMS’s Proposed IPPS and LTCH FY 2017 Rule: Key Takeaways

On April 18, 2016, CMS released its proposed rule [PDF] addressing new payment rates and policies under both the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS), for fiscal year (FY) 2017. via … Continue reading

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CMS Moves The Inpatient Benchmark to 48 Hours

CMS redefined the benchmark used to determine medical necessity for an inpatient claim typically filed by acute care hospitals for Medicare reimbursement, moving the mark from 24 hours, the long-standing instruction in the Medicare Benefits Policy Manual, to 48 hours, … Continue reading

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