Course | Basic | Medicare Payment and Reimbursement
In this course we will address scheduling processes, including<div><ul><li>Patient identification</li><li>Requested service</li><li>Medical necessity screening</li><li>Medicare Advance Beneficiary Notice of Noncoverage processing</li><li>Pa...
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Course | Overview | Medicare Payment and Reimbursement
This course provides a brief history and overview of Medicare and Medicaid. It describes government organizations that regulate and administer this program. This course also discusses Medicare reimbursement. In addition, it highlights recen...
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Course | Intermediate | Medicare Payment and Reimbursement
This course provides an overview of the prospective payment systems used in the Medicare program and as well as Medicare fee schedules. This course provides a general discussion and overview of Medicare reimbursement under the Inpatient Pro...
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Course | Intermediate | Medicare Payment and Reimbursement
This course provides a general discussion and overview of reimbursement provided by Medicare under the outpatient prospective payment system. It also discusses the use of ambulatory payment classifications in the outpatient prospective paym...
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On Demand Webinar | Intermediate | Medicare Payment and Reimbursement
As the senior population continues to outpace the relative growth of the general population, and Medicare Advantage is accounting for about one-third (and growing every year) of all new Medicare eligible enrollees, providers are increasingl...
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Fact Sheet | Medicare Payment and Reimbursement

Hospital Inpatient Value-Based Purchasing Program Fact Sheet

Fact Sheet | Medicare Payment and Reimbursement

Hospital Inpatient Value-Based Purchasing Program Fact Sheet

This fact sheet includes updates to the hospital inpatient value-based purchasing program developed by CMS to reward hospitals for meeting certain performance standards established for a performance period.

The Affordable Care Act (ACA) requires the HHS Secretary to establish a hospital value-based purchasing (VBP) program under which value-based incentive payments are made in a fiscal year to hospitals meeting performance standards established for a performance period for that year. The value-based incentive payment amount is equal to the product of the base operating DRG payment amount for each discharge for the hospital for the fiscal year and the value-based incentive payment percentage for the hospital for the fiscal year. The total amount available for value-based incentive payments for all hospitals for a fiscal year is equal to the total amount of reduced payments for all hospitals for that fiscal year.

This fact sheet includes updates to the hospital inpatient value-based purchasing program included in the FY13 IPPS proposed rule, published in the May 11, 2012, Federal Register.  

Download the fact sheet 

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