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Prospective payment system (PPS)
Prospective payment system (PPS)Prospective payment system (PPS)
Modified: 2/1/2012
The calendar year (CY) 2012 home health prospective payment system (HH PPS) PC Pricer is now available for download on the Centers for Medicare & Medicaid Services' website. [PERL 201201-54]
Modified: 1/23/2012
The outpatient prospective payment system (OPPS) Pricer Web page has been updated with new payment files for calendar year 2012. [PERL 201201-37]
Modified: 1/19/2012
The Centers for Medicare & Medicaid Services (CMS) has posted the most recent quarterly provider specific files (PSF) SAS data files and text data files to its website, and the files are now available for download. [PERL 201201-27]
Modified: 1/19/2012
The Centers for Medicare & Medicaid Services (CMS) has identified that an update to the integrated outpatient code editor (I/OCE) is necessary to allow payment for Current Procedural Terminology® (CPT) code 33249. [PERL 201201-29]
Modified: 12/20/2011
This article is based on change request (CR) 7668, which describes changes to the integrated outpatient coded editor (I/OCE) and outpatient prospective payment system (OPPS) to be implemented in January 2012. [MM7668]
Modified: 9/18/2010
An overview for both the operating and capital-related costs of hospital inpatient stays in long-term care hospitals (LTCHs) under Medicare Part A based on prospectively set rates.
Modified: 4/12/2010
An overview of the PPS for hospital outpatient services, some Part B services furnished to hospital inpatients who have no Part A coverage, and hospitalization services furnished by community mental health centers.
Modified: 4/12/2010
The Social Security Act set a system of payment for the operating costs of acute care hospital inpatient stays under Medicare Part A (hospital insurance) based on prospectively set rates.
Modified: 4/12/2010
Here is an overview of the payment process for an inpatient psychiatric facility, also referred to as a TEFRA (Tax Equity and Fiscal Responsibility Act) facility.
