Note: Further clarification on important changes to inpatient and outpatient hospital reimbursement under PPACA
Medicare Insider, July 20, 2010
Want to receive articles like this one in your inbox? Subscribe to Medicare Insider!
Editor’s note: Judith Kares, JD, CPC, regulatory specialist for HCPro, Inc., is the author of this week’s note from the instructor.
In a recent transmittal (R726OTN), CMS provided further clarification on changes to inpatient prospective payment system (IPPS) hospital reimbursement for FY 2010 and outpatient prospective payment system (OPPS) hospital reimbursement for CY 2010, as a result of the Patient Protection and Affordable Care Act (PPACA). One of the more challenging aspects of implementing these changes is that they have various retroactive dates. Going forward, payment is to be made based upon the updated rates, but instructions about how to handle past claims already paid under pre-PPACA requirements have yet to be issued.
Continue reading Judith's note on the MedicareMentor Blog.
Want to receive articles like this one in your inbox? Subscribe to Medicare Insider!
Related Products
-
Prevent Denials and Win Appeals:
Hospital case managers and directors of case management will find Prevent Denials and Win Appeals to be a valuable partner...
-
Mastering the Three-Day Payment Window
During this 90 minute audio conference our expert speaker, Kimberly Anderwood Hoy provides a brief history of the rule...
-
Principal Diagnosis: Ensure Accurate MS-DRG Assignment
Reviews and explains tricky coding sequencing and when procedures drive assignment and presents case studies and clinical...
-
Acute and Chronic Renal Failure Coding:
Our experts address new AKIN criteria, acute vs. chronic kidney disease, and other clinical aspects of renal failure and...
-
Revenue Cycle Digital Library - Reimbursement - Single User Access
A searchable, Web-based resource that provides online access to HCPro’s expertly developed Medicare reimbursement books and...
Most Popular
- Articles
-
- CMS seeks comment on quality measures
- Don't forget the three checks in medication administration
- Practice the six rights of medication administration
- Note similarities and differences between HCPCS, CPT® codes
- What to include on the incident report
- Q&A: Primary, principal, and secondary diagnoses
- Code diagnoses and outpatient treatment for PTSD
- Understanding nursing roles in quality improvement
- OB services: Coding inside and outside of the package
- Differentiate between types of wound debridement
- E-mailed
- Searched
