Fact Sheet | Payment, Reimbursement, and Managed Care

FY 2020 IPPS Proposed Rule Summary

Fact Sheet | Payment, Reimbursement, and Managed Care

FY 2020 IPPS Proposed Rule Summary

On April 23, 2019, the Centers for Medicare & Medicaid Services (CMS) released its proposed rule describing federal fiscal year (FY) 2020 policies and rates for Medicare’s prospective payment systems for acute care inpatient hospitals (IPPS) and the long-term care hospital prospective payment system (LTCH PPS). The payment rates and policies described in the IPPS/LTCH proposed rule (CMS-1716-P) would affect Medicare’s operating and capital payments for short-term acute care hospital inpatient services and services provided in long-term care hospitals paid under their respective prospective payment systems. The proposed rule also sets forth rate-of-increase limits for inpatient services provided by certain “IPPS-Exempt” providers, such as cancer and children’s hospitals, and religious nonmedical health care institutions, which are paid based on reasonable costs. The proposed rule will be published in the Federal Register on May 3, 2019.

Download the summary


Related Articles | Payment, Reimbursement, and Managed Care

News | Revenue Cycle

HFMA’s December Chicago Seminars focus on revenue cycle essentials, value-based payment and chargemaster strategies

Register now at hfma.org/seminars to learn about the most pressing issues in the industry today during a two-day focused education Dec. 5 and 6 in Chicago.

Fact Sheet | Payment, Reimbursement, and Managed Care

Discharge Planning Final Rule Executive Summary

This document contains a high-level overview of CMS’s discharge planning final rule.

News | Legal and Regulatory Compliance

HHS proposes 16 Stark, anti-kickback changes

HHS has proposed a range of rule changes to anti-fraud laws that providers say have blocked value-based payment arrangements.

Fact Sheet | Payment, Reimbursement, and Managed Care

Regulatory Burden Reduction, Dialysis Fire Safety and Hospital CAH CoP Final Rules Summaries

This document summarizes three final rules published by CMS addressing certain Medicare regulations identified as unnecessary, obsolete or excessively burdensome; updating fire safety requirements to certain renal dialysis facilities; and revising hospital and critical access hospital (CAH) conditions of participation (CoPs).