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

FY21 Inpatient Prospective Payment System Proposed Rule Summary

Fact Sheet | Payment, Reimbursement, and Managed Care

FY21 Inpatient Prospective Payment System Proposed Rule Summary

On May 11, 2020, the Centers for Medicare & Medicaid Services (CMS) released its proposed rule describing federal fiscal year (FY) 2021 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 final rule will be published in the Federal Register on May 29, 2020. The public comment period ends at 5:00 PM on July 10, 2020. This document summarizes the proposed rule.

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