CMS Continues Its Focus on Quality Initiatives with the FY 2016 IPPS Final Rule

By Amy Fouts, Jennifer Whitton and Josiah Heidt on August 17, 2015 Posted in Uncategorized

On July 31, 2015, the Centers for Medicare and Medicaid Services (CMS) issued a final rule (Final Rule) updating fiscal year (FY) 2016 Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System. While many hospitals will see increased Medicare reimbursement rates based on … Continue Reading

Federally Qualified Health Centers: Welcome to PPS

By Robert M. Wolin on May 20, 2014 Posted in Uncategorized

The Centers for Medicare & Medicaid Services (CMS) recently finalized a new prospective payment system (PPS) for Federally Qualified Health Center (FQHC) services. The implementation of the PPS was mandated by the Affordable Care Act (ACA). Medicare currently pays FQHCs an all-inclusive rate for the professional component of qualified primary and preventive health services furnished to the … Continue Reading

IPPS Proposed Rule: Read Once, Then Take an Aspirin

By Robert M. Wolin and Kinal Patel on May 16, 2014 Posted in Uncategorized

The Centers for Medicare and Medicaid Services (CMS) has set its sights on the quality of care during hospital inpatient stays and much, much more. On May 15, 2014, CMS published a proposed rule that would update Medicare payment policies and rates under the Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System … Continue Reading