Hospital Inpatient Prospective Payment System

Hospital Inpatient Prospective Payment System

Hospital Inpatient Prospective Payment System On April 18, 2022, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long‑Term Care Hospital (LTCH) Prospective Payment System (PPS) proposed rule. The proposed rule would update Medicare fee-for-service payment rates and policies for inpatient hospitals…

consumers

Surprise billing & protecting consumers

Surprise billing & protecting consumers As of January 1, 2022, consumers have new billing protections when getting emergency care, non-emergency care from out-of-network providers at in-network facilities, and air ambulance services from out-of-network providers. Through new rules aimed to protect consumers, excessive out-of-pocket costs are restricted, and emergency services must continue to be covered without any prior authorization, and…