Inpatient Prospective Payment Systems (IPPS)
More than three-quarters of the nation's inpatient acute-care hospitals are paid under the inpatient prospective payment system, while nearly a quarter are paid based on costs and are called Critical Access Hospitals. The IPPS pays a flat rate based on the average charges across all hospitals for a specific diagnosis, regardless of whether that particular patient costs more or less. Everything from an aspirin to an artificial hip is included in the package price to the hospital.
The Centers for Medicare & Medicaid Services \(CMS\) yesterday released the rate year \(RY\) 2008 proposed rule for the long-term care hospital \(LTCH\) prospective payment system \(PPS\).
In the February 1 Federal Register, the Centers for Medicare & Medicaid Services\(CMS\) published proposed changes to its direct graduate medical education \(DGME\) and indirect medical education \(IME\) payment policies related to the amount of time residents can spend in non-hospital settings…
The Centers for Medicare & Medicaid Services \(CMS\) on September 29 released a final notice that included the fiscal year \(FY\) 2007 hospital inpatient prospective payment system \(PPS\) final wage indices and payment rates
Inpatient Prospective Payment System (IPPS) Resources: Links to government sites and other sites that contain the latest information on Inpatient PPS.
AHA Central Office serves as the U.S. clearinghouse for issues related to the use of ICD-9-CM, ICD-10-CM, ICD-10-PCS and certain HCPCS codes. AHA Central Office works with the National Center for Health Statistics and the Centers for Medicare & Medicaid Services to maintain the integrity of the…
A growing number of increasingly complex procedures are moving from the inpatient to the outpatient environment, and out of hospital settings into physicians’ offices and free-standing ambulatory surgery or diagnostic facilities. This edition of TrendWatch explores the impact these trends have on…
On April 12, the Centers for Medicare & Medicaid Services \(CMS\) released its proposed rule for the fiscal year \(FY\) 2007 hospital inpatient prospective payment system \(PPS\). CMS proposes some of the most significant changes to the system since its implementation in 1983.
CMS published in the May 18 Federal Register a proposed rule with changes to the fiscal year \(FY\) 2005 hospital inpatient prospective payment system \(PPS\). This rule is one of the most complicated and lengthy ever released by the agency.
On March 8, CMS released the proposed fiscal year \(FY\) 2005 occupational mix public use file \(PUF\), which contains survey data submitted from acute care hospitals on the occupational mix of their employees. Since this data will be used to adjust Medicare hospital payments across geographic…
This issue of TrendWatch explores the recent trends in hospital inpatient volume and the forces that may be driving them.