Articles and Blogs

On August 28, 2024, the Centers for Medicare & Medicaid Services (“CMS”) published the Fiscal Year 2025 Inpatient Prospective Payment System (“IPPS”) Final Rule (“Final Rule”), which can be found here (Hall Render’s alert on the 2025 IPPS Final Rule can be found here). Among other things, the Final Rule finalized updates to Graduate... READ MORE

The Centers for Medicare & Medicaid Services (“CMS”) will publish the 2025 Inpatient Prospective Payment System (“IPPS”) Final Rule (“Final Rule”) in the Federal Register on August 28 with an effective date of October 1, 2024. Along with increasing IPPS payments for FY 2025, the Final Rule introduces a new alternative payment model, funds... READ MORE

The Centers for Medicare & Medicaid Services (“CMS”) released the 2025 Inpatient Prospective Payment System (“IPPS”) Final Rule (“Final Rule”) on August 1, 2024. Taking effect on October 1, 2024, the Final Rule confirms CMS will adopt updated market area delineations based on the 2020 census. The Final Rule is scheduled to be published... READ MORE

On April 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) released the 2025 Inpatient Prospective Payment System (“IPPS”) Proposed Rule (“Proposed Rule”). The Proposed Rule brings a significant change in that it confirms CMS will adopt updated labor market area delineations based on the 2020 Census, taking effect on October 1, 2024.... READ MORE

CMS released the FFY 2024 IPPS Final Rule (“Final Rule”) on August 1, 2023, publishing a fact sheet on its website. The Final Rule is expected to be published in the Federal Register on August 28, 2023. In doing so, CMS will finalize changes to its rural floor wage index policy that can drastically... READ MORE

On August 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued its Final Hospital Inpatient Prospective Payment System (“IPPS”) and Long-Term Care Hospital (“LTCH”) PPS rule for fiscal year (“FY”) 2024 (“Final Rule”). The Final Rule increases the rate for IPPS payments by 3.3% in FY 2024 but applies a 0.2% productivity... READ MORE

On May 10, 2022, CMS published its proposed revisions to the Inpatient Prospective Payment System for 2023. CMS proposed two changes that would affect reimbursement for graduate medical education (“GME”) programs at teaching hospitals. First, CMS proposed to update the way that it calculates direct GME (“DGME”) payments for fellows in some training programs,... READ MORE

The FFY 2022 IPPS Proposed Rule (“Proposed Rule”) was released on April 27, 2021, and CMS published the associated tables on its website. In addition, the Proposed Rule is expected to be published in the Federal Register on May 10. The release of the Proposed Rule and the accompanying tables triggers the start of... READ MORE

On September 2, 2020, CMS published the delayed Final Rule for the FFY 2021 Inpatient Prospective Payment System (“PPS”). This Final Rule will appear in the Federal Register on September 18, 2020 and will still become effective on October 1, 2020, despite its delays. Payments for inpatient hospital services for hospitals that are EHR... READ MORE

On May 11, 2020, the Centers for Medicare & Medicaid Services (“CMS”) released the 2021 Inpatient Prospective Payment System (“IPPS”) Proposed Rule (“Proposed Rule”). One of the most significant updates is the proposed addition of a new requirement to the Medicare cost report submission process. Specifically, hospitals would be required to provide the median... READ MORE