News & Analysis as of

Prospective Payment System (PPS) Value-Based Purchasing

Holland & Knight LLP

CMS Releases FY 2023 IPPS and LTCH Proposed Rule

Holland & Knight LLP on

The Centers for Medicare & Medicaid Services (CMS) on April 18, 2022, published its annual proposed rule for the federal fiscal year (FY) 2023 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH)...more

Baker Donelson

CMS SNF PPS Proposed FY 2022 Rule – An Overview

Baker Donelson on

On April 15, 2021, Centers for Medicare & Medicaid Services (CMS) published its Proposed Rule for the Medicare Program Prospective Payment System (PPS) and Consolidated Billing for Skilled Nursing Facilities (SNF) and Updates...more

King & Spalding

CMS Final Rule Updates Medicare Payment Rates and Quality Programs for SNFs

King & Spalding on

On July 31, 2020, CMS issued Final Rule CMS-1737-F for fiscal year 2021, in its yearly update to Medicare payment policies for SNFs (the Final Rule). In addition to updating Medicare payment rates under the SNF prospective...more

King & Spalding

CMS Issues Final Rule for CY 2020 Home Health Payments, CY 2021 Home Infusion Therapy Benefit

King & Spalding on

On October 31, 2019, CMS issued a final rule with comment period (Final Rule), CMS-1711-FC, updating the payment rates for home health agencies (HHAs) for calendar year (CY) 2020...more

Baker Donelson

FY 2020 SNF PPS Rule Provides Opportunity for Comments

Baker Donelson on

Comments are due on June 18 for the FY2020 skilled nursing facility prospective payment system (SNF PPS) proposed rule. The rule, which was published on April 25, includes discussion of the standard annual payment updates. In...more

King & Spalding

CMS Issues FY 2019 SNF Proposed Rule

King & Spalding on

On April 27, 2018, CMS issued a proposed rule that would update the payments rates under the prospective payments system (PPS) for skilled nursing facilities (SNFs). Additionally, the proposed rule includes proposals for the...more

Baker Donelson

Home Health Payment Rule Published

Baker Donelson on

On November 1, 2017, CMS released the Final Rule for the 2018 home health prospective payment system rate update, including the CY 2019 case mix adjustment methodology refinements. CMS also made changes to the Value Based...more

King & Spalding

CMS Releases FY 2018 Hospital Inpatient Prospective Payment System Proposed Rule and Request for Information

King & Spalding on

On April 14, 2017, CMS issued the annual Hospital Inpatient Prospective Payment System (IPPS) Rule for FY 2018 (the “Proposed Rule”) which will affect discharges on or after October 1, 2017. CMS estimates that IPPS operating...more

Baker Donelson

Home Health Agency PPS Update for 2017: Quality, Quality, Quality

Baker Donelson on

On November 3rd, CMS published the Final Prospective Payment System (PPS) Rule for Home Health Agencies (HHAs) for CY 2017 at 81 FR 76702 (Nov. 3, 2016). The rule implements annual changes to the PPS rate for HHAs and...more

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