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PPS (Prospective payment system)

Modified: 2/6/2017
An overview of the PPS for inpatient rehabilitation hospitals and rehabilitation units -- referred to as inpatient rehabilitation facilities (IRFs).
Modified: 1/19/2017
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.
Modified: 1/10/2017
The Centers for Medicare & Medicaid Services (CMS) recently updated the federally qualified health centers (FQHC) prospective payment system (PPS) base payment rate and the geographic adjustment factors for 2017. This article was revised January 5 to reflect the revised change request (CR) issued January 4. The CR corrected a typographical error in the 2015 payment rate for grandfathered tribal FQHC. In addition, the CR release date, transmittal number, and the web address for accessing the CR are revised. [MM9831]
Modified: 1/6/2017
Change request (CR) 9930 revises billing instructions for various payment policies implemented in the January 2017 hospital outpatient prospective payment system update, which includes changes to the pass-through payment time period. [MM9930]
Modified: 10/8/2016
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: 10/8/2016
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: 10/8/2016
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.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.