Course | Intermediate | Payment, Reimbursement, and Managed Care
This course describes the regulatory agencies that have authority over healthcare organizations, including the Centers for Medicare and Medicaid Services. It also explains how Medicare and Medicaid function as payers, and how different kind...
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Course | Basic | Payment, Reimbursement, and Managed Care
This course explains how to complete FL 1-41 of the UB-04 billing form. This course covers the use of this form for all payers, including Medicare, Medicaid, and commercial payers. The course describes each form locator and provides detaile...
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Course | Basic | Payment, Reimbursement, and Managed Care
This course explains how to complete FL 42-81 of the UB-04 billing form. The codes needed to fill in these data areas are described. The course covers the use of this form for all payers, including Medicare, Medicaid, and commercial payers....
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Live Webinar | Payment, Reimbursement, and Managed Care
This Spring, Medicare is offering a final enrollment opportunity in the Bundled Payments for Care Improvement Advanced ("BPCI-A") model for new participants. Hundreds of hospitals and physician groups are actively participating in BPCI-A, a...
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On Demand Webinar | Intermediate | Payment, Reimbursement, and Managed Care
On December 21, CMS finalized the Medicare Shared Savings Program Pathways to Success rule. The final rule represents the most sweeping changes to the program since its inception. While accelerating the transition to risk, the rule's change...
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Fact Sheet | Payment, Reimbursement, and Managed Care

Executive Summary: Key Financial and Operational Impacts from the Proposed FY21 IPPS Rule

Fact Sheet | Payment, Reimbursement, and Managed Care

Executive Summary: Key Financial and Operational Impacts from the Proposed FY21 IPPS Rule

The 2021 IPPS (Inpatient Prospective Payment System) Proposed Rule was made available on May 11, 2021. CMS estimates that the total impact of all policy changes will increase overall payments to IPPS hospitals by approximately 1.6%, or $2.7 billion, in FY21. This summary provides an overview of major provisions.

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