On Demand Webinar | Intermediate | Payment, Reimbursement, and Managed Care
Payment uncertainty in the U.S. healthcare system has become an exhaustive burden for all stakeholders - and further amplified by COVID-19. Healthcare costs and inconsistent volumes demand a holistic, long-term strategy for financial viabil...
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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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Fact Sheet | Payment, Reimbursement, and Managed Care

FY 2021 Inpatient Rehabilitation Facility PPS Final Rule Summary

Fact Sheet | Payment, Reimbursement, and Managed Care

FY 2021 Inpatient Rehabilitation Facility PPS Final Rule Summary

On August 10, 2020, CMS published a final rule on the Medicare inpatient rehabilitation facility prospective payment system (IRF PPS) for federal fiscal year (FY) 2021. In addition to provisions that update the IRF PPS payment rates and outlier threshold for FY 2021, the final rule adopts revised wage index areas with a transition year for IRFs that would experience a lower wage index; permanently removes the post-admission evaluation requirement; makes revisions to certain IRF coverage requirements; and allows non-physician practitioners to perform some of the required weekly visits in place of a rehabilitation physician. No changes are made to the IRF Quality Reporting Program (IRF QRP) or to the IRF PPS facility-level adjustment factors (i.e., for rural, low income percentage and teaching status).

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News | Healthcare Business Trends

News briefs September 2020: Trends in hospital volumes and margins, and other forces shaping healthcare finance

Read about the key factors that shaped healthcare finance policy and practice in August 2020.