The End-Stage Renal Disease (ESRD) 2020 proposed rule was published in the Federal Register August 6, 2019, and affects discharges on or after January 1, 2020. Each year, CMS publishes updates to the regulations for inflation factors, wage adjustments, etc., and for calendar year (CY) 2020, CMS has proposed the following updates to the End-Stage Renal Disease rates:
Topics: Industry Updates, proposed rule
The Hospital Outpatient Prospective Payment System (OPPS) FY 2020 proposed rule was put on display for public inspection on July 29, 2019 and published in the Federal Register on August 9, 2019. The 247-page FY 2020 OPPS proposed rule can be viewed in its entirety here. This proposed rule will affect discharges on or after January 1, 2020.
Topics: Industry Updates, regulations, proposed rule, OPPS
The FY 2020 Inpatient Prospective Payment System (IPPS) Final Rule was put on display for public inspection on August 2, 2019, and is scheduled to be published in the Federal Register on August 16, 2019. The pre-publication version can be viewed HERE or on the FY 2020 IPPS Final Rule homepage. These changes will go into effect October 1, 2019.
Topics: Medicare DSH Reimbursement, Industry Updates, S-10, regulations, proposed rule, worksheet s-10, factor 3, uncompensated care payment, ipps rule, provider reimbursement
The 2020 IPPS Proposed Rule was published in the Federal Register back in May and public comments were accepted up until June 24. We anticipate that the FY 2020 IPPS Final Rule will be published in early August (perhaps as early as this week) and any changes will go into effect October 1, 2019. In advance of the Final Rule, we thought it would be helpful to review the Medicare DSH/Uncompensated Care payment portions (pages 19406-19423 in the Federal Register) of the proposed rule as it will affect qualifying DSH hospitals.
Topics: Medicare DSH Reimbursement, regulations, proposed rule, worksheet s-10
The 2020 IPPS Proposed Rule was put on display for public inspection on April 23, 2019, and subsequently published in the Federal Register May 3, 2019. You can view the rule in its entirety here. If finalized, the proposed 2020 IPPS rule will affect discharges on or after October 1, 2019. Each year, CMS publishes updates to the regulations for inflation factors, wage adjustments, etc. The rates that are reviewed in this post are the non-wage index adjusted rates for specific Core-Based Statistical Areas (CBSAs) as well as other updates made to the standardized rates.
Topics: proposed rule, wage index, ipps rule, provider reimbursement
The FY 2020 Hospice Proposed Rule was put on display for public inspection on April 19, 2019. The proposed rule is scheduled to be published in the Federal Register on April 25, 2019. In the meantime, the pre-publication version can be viewed here. If finalized, this Hospice proposed rule will be effective October 1, 2019.
Each year, CMS publishes updates to the regulations for inflation factors, wage adjustments, etc. For FY 2020, CMS has proposed the following updates to the Medicare Hospice payment rates:
Topics: Industry Updates, regulations, proposed rule, provider reimbursement, hospice
The FY 2020 Inpatient Skilled Nursing Facility Proposed Rule was put on display for public inspection on April 19, 2019. The proposed rule is scheduled to be published in the Federal Register April 25, 2019, however, the pre-publication can be viewed here. If finalized, this SNF rule will affect discharges on or after October 1, 2019.
Topics: Industry Updates, regulations, proposed rule, provider reimbursement, inpatient SNF
The FY 2020 Inpatient Prospective Payment System (IPPS) Proposed Rule was put on display for public inspection on April 23, 2019, and is scheduled to be published in the Federal Register on May 3, 2019. The pre-publication version can be viewed HERE or on the FY 2020 IPPS Proposed Rule homepage. If finalized, these changes will go into effect October 1, 2019. All public comments to the proposed rule are to be received by 5 pm EST on Monday, June 24, 2019.
Topics: Medicare DSH Reimbursement, Industry Updates, S-10, regulations, proposed rule, worksheet s-10, factor 3, uncompensated care payment, ipps rule, provider reimbursement
The FY 2020 Inpatient Psych Proposed Rule was put on display for public inspection on April 17, 2019. The proposed rule is scheduled to be published in the Federal Register April 23, 2019. The pre-publication can be viewed here. When finalized, this IPF rule will affect discharges on or after October 1, 2019.
Topics: regulations, proposed rule, inpatient psych
The Inpatient Rehab FY 2020 Proposed Rule was put on display for public inspection on April 17, 2019. The proposed rule is scheduled to be published in the Federal Register on April 24, 2019, however, the pre-publication version can be viewed here. This IRF rule will affect discharges on or after October 1, 2019.
Topics: proposed rule, provider reimbursement, inpatient rehab