Tag Archives: LTAC

CMS Corrects Final FY 2015 Medicare IPPS/LTCH Rule

CMS has published corrections to its August 22, 2014 final update to the Medicare Hospital Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital Prospective Payment System for FY 2015. Among other things, CMS made technical errors in its calculation of the operating and capital IPPS budget neutrality factors, outlier threshold, operating standardized amounts, … Continue Reading

CMS Releases Proposed Medicare Inpatient PPS/LTCH Update for FY 2015

Late on April 30, 2014, CMS released the advance text of its proposed rule to update the Medicare acute hospital inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) prospective payment system (PPS) for fiscal year (FY) 2015. With regard to IPPS hospitals, the rule would provide for a 1.3% operating payment rate update, … Continue Reading

CMS Finalizes FY 2014 Medicare IPPS, LTCH Rates

On August 19, 2013, the Centers for Medicare & Medicaid Services (CMS) published a final rule updating FY 2014 Medicare payment policies and rates under the acute inpatient prospective payment system (IPPS) and the long-term care hospital (LTCH) prospective payment system (PPS). The following are highlights of the lengthy rule:… Continue Reading

CMS Proposes Medicare IPPS and LTCH PPS Rates/Policies for FY 2014

On May 10, 2013, the Centers for Medicare & Medicaid Services (CMS) published its proposed rule updating Medicare inpatient prospective payment system (IPPS) and long-term acute care hospital prospective payment system (LTCH PPS) rates and policies for fiscal year (FY) 2014, which begins October 1, 2013. Comments on the proposed rule will be accepted until … Continue Reading

CMS Proposed Changes to Medicare LTCH Payment Rates and Policies for FY 2014

On April 26, 2013, the Centers for Medicare & Medicaid Services ("CMS") released the proposed update to the Medicare long-term acute care hospital prospective payment system ("LTCH PPS") policies and payment rates for fiscal year ("FY") 2014. The proposed changes would apply to discharges occurring on or after October 1, 2013 through September 30, 2014. CMS will accept comments on the proposed rule until June 25, 2013, and will respond to comments in a final rule to be issued by August 1, 2013. Reed Smith has prepared a Client Alert that provides a summary of the most significant proposed changes to the LTCH PPS in the proposed rule.… Continue Reading

CMS Correction Notices (IPPS, LTCH-PPS, MA, PDP)

On June 11, 2012, CMS published corrections to the May 11, 2012 proposed rule to update Medicare inpatient prospective payment system (IPPS) hospital and long-term care hospital prospective payment system (LTCH-PPS) payment and other policies for fiscal year (FY) 2013. Among other things, CMS is decreasing the national capital standard federal payment rate, which in … Continue Reading

IPPS/LTCH FY 2012 Final Rule Corrections

On February 1, 2012, CMS published a notice correcting technical errors in the tables accompanying the final rule entitled “Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2012 Rates,” which appeared in the August 18, 2011 Federal Register. The errors involved … Continue Reading

GAO Report Examines CMS Oversight of Long-Term Care Hospitals

The Government Accountability Office (GAO) has issued a report entitled "Long-Term Care Hospitals: CMS Oversight Is Limited and Should Be Strengthened," which examines the extent to which CMS (1) collects data about LTCHs’ quality of care and (2) oversees LTCH survey activities. The GAO discusses the limitations of CMS data on LTCH quality, including the … Continue Reading

CMS Seeks Applicants for ACA Bundled Payment Initiative

The Centers for Medicare & Medicaid Services (CMS) has launched the Bundled Payments for Care Improvement Initiative under Section 3021 of the Affordable Care Act (ACA), which authorizes the Secretary to test innovative delivery arrangements to reduce federal spending while preserving or enhancing the quality of care. Under the Bundled Payments Initiative, CMS seeks applicants who … Continue Reading

CMS Issues Final FY 2012 Medicare Long Term Acute Care Hospital PPS Rule

This post was written by Debbie McCurdy & Paul Pitts. On August 18, 2011, CMS is publishing its final rule updating Medicare long-term care hospital (LTCH) PPS policies and payment rates for FY 2012 (affecting discharges and cost reporting periods beginning on or after October 1, 2011 through September 30, 2012). Medicare payments to LTCHs are projected to increase … Continue Reading

CMS Issues Proposed Changes to LTCH Payment Rates and Other Payment Policies for Fiscal Year 2012

Reed Smith attorneys have prepared a Client Alert which provides a summary of the most significant proposed changes to the Medicare program's long-term acute care hospital prospective payment system ("LTCH-PPS") for fiscal year ("FY") 2012. On Tuesday, April 19, 2011, the Centers for Medicare & Medicaid Services ("CMS") released on its website an advance copy of the "Proposed Rule" revising the LTCH-PPS for fiscal year FY 2012, which applies to discharges occurring on or after October 1, 2011 through September 30, 2012. The official copy of the Proposed Rule will be published in the Federal Register in the coming days. Comments on the Proposed Rule must be submitted no later than 5 p.m. on June 20, 2011.… Continue Reading

MedPAC Report to Congress on 2012 Payment Recommendations

On March 15, 2011, MedPAC released its annual report to Congress on Medicare Payment Policy. The report includes MedPAC’s recommendations on payment rate updates and other policies, such as distribution of payments and program integrity, for Medicare fee-for-service payment systems. It also includes an overview of the status of the Medicare Advantage and Medicare Part D prescription … Continue Reading

Proposed Medicare Inpatient Psychiatric Facilities PPS Update

On January 27, 2011, CMS published a proposed rule that would update prospective payment rates for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPFs) for discharges occurring July 1, 2011 through September 30, 2012 and make other changes to the IPF PPS. The proposed rule also would rebase and revise the Rehabilitation, Psychiatric, and … Continue Reading

Final FY 2011 Medicare Inpatient Hospital, LTCH Rates

On August 16, 2010, CMS is publishing its final rule updating Medicare hospital inpatient prospective payment systems (IPPS) and long term care hospital (LTCH) prospective payment system (PPS) rates for 2011. The rule, which responds to comments that CMS received on its May 4, 2010 proposed rule and a June 2, 2010 supplemental proposed rule, also … Continue Reading

Revisions to Medicare Inpatient Hospital, LTCH Rates

CMS has issued two regulations implementing Affordable Care Act provisions impacting hospital inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) prospective payment system (PPS) payments. First, CMS has issued a “supplement” to its May 4, 2010 fiscal year (FY) 2011 IPPS and LTCH PPS proposed rule to implement provisions of the Affordable Care … Continue Reading

Medicare Advantage Beneficiary Information Submission Requirement for Hospitals

CMS is requiring non-teaching hospitals to submit informational only bills for Medicare Advantage (MA) beneficiaries they treated in FY 2007 and FY 2008 on or before August 31, 2010 and submit a related attestation or before September 15, 2010. This requirement is a follow-up to a 2007 transmittal requiring all hospitals paid under the inpatient prospective payment … Continue Reading

Guidance on Implementation of PPACA Medicaid Rebate, Institutional Provider, Risk Pool Provisions

CMS has issued guidance to State Medicaid Directors on the Medicaid prescription drug rebate provisions of the Patient Protection and Affordable Care Act (PPACA). Specifically, the letter addresses the increased rebate percentages for covered outpatient drugs dispensed to Medicaid patients, the extension of prescription drug rebates to covered outpatient drugs dispensed to enrollees of Medicaid managed … Continue Reading

CMS Issues Proposed FY 2011 IPPS/LTCH Rule

CMS has released its proposed rule to update Medicare inpatient prospective payment system (IPPS) hospital and LTCH payment and other policies for FY 2011, which will be published in the Federal Register on May 4, 2010. Overall, CMS estimates that payments to general acute care hospitals for operating expenses under the proposed rule will decrease by … Continue Reading
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