Medicare Payment Rules

IHA provides summaries and context on annual proposed and final changes to Medicare payment policies. See Medicare Advocacy for IHA comment letters on proposed rules.

Jan 19, 2021

CMS to Reprocess 2019 Excepted Off-Campus PBD Claims

CMS will begin reprocessing and recouping reimbursement made for certain 2019 outpatient services provided at excepted off-campus Provider-Based Departments.

Dec 10, 2020

CY 2021 OPPS Final Rule Fact Sheet

CMS published its annual final rule updating the Outpatient Prospective Payment System, effective Jan. 1, 2021. The final rule includes new COVID-19 hospital reporting requirements.

Dec 04, 2020

CY 2021 Final Rule Medicare Physician Fee Schedule Fact Sheet

CMS published its annual final rule updating the Medicare Physician Fee Schedule, effective Jan. 1, 2021, including changes to Medicare telehealth policy.

Nov 16, 2020

CY 2021 Final Rule Medicare Home Health Fact Sheet

CMS published its annual final rule updating the Medicare Home Health Prospective Payment System, effective Jan. 1, 2021 to Dec. 31, 2021.

Sep 10, 2020

FFY 2021 Final Rule Medicare Hospice Fact Sheet

CMS published its annual final rule updating the Medicare Hospice Prospective Payment System wage index, payment rates and quality-reporting program effective Oct. 1, 2020-Sept. 30, 2021.
Sep 10, 2020

FFY 2021 Medicare LTCH Final Rule

On Sept. 3, CMS published its annual final rule updating the LTCH Prospective Payment System effective Oct. 1, 2020 through Sept. 30, 2021.

Sep 10, 2020

FFY 2021 Medicare IPPS Final Rule

On Sept. 3, CMS published its annual final rule updating the Inpatient Prospective Payment System effective Oct. 1, 2020 through Sept. 30, 2021.

Aug 12, 2020

FFY 2021 IPF Final Rule

CMS published its annual final rule updating the Medicare inpatient psychiatric facility prospective payment system effective Oct. 1, 2021. See IHA’s fact sheet for important details on the rule.

Aug 10, 2020

FFY 2021 IRF Final Rule

CMS published its annual final rule updating the Medicare inpatient rehabilitation facility prospective payment system effective Oct. 1, 2021. See IHA's fact sheet for important details on the rule.

Aug 10, 2020

FFY 2021 SNF Final Rule

CMS published its annual final rule updating the Medicare skilled nursing facility prospective payment system effective Oct. 1, 2021. IHA's fact sheet provides detailed information on the rule.

Aug 10, 2020

CY 2021 OPPS Proposed Rule

CMS published its annual proposed rule updating the Medicare outpatient prospective payment system effective Jan. 1, 2021. See IHA's fact sheet on the proposed rule and its impact on hospitals.

Jul 08, 2020

CY 2021 Home Health Proposed Rule

CMS published it annual proposed rule updating the Medicare home health prospective payment system effective Jan. 1, 2021.

May 27, 2020

Occupational Mix Survey Fact Sheet (May 2020)

Every three years, CMS collects occupational mix data from all short-term acute care hospitals participating in the Medicare program. See IHA's fact sheet for FFY 2022.

May 14, 2020

FFY 2021 LTCH Proposed Rule

CMS published its annual proposed rule updating the Medicare long-term acute care hospital (LTCH) prospective payment system effective Oct. 1, 2020.

May 14, 2020

FFY 2021 IPPS Proposed Rule

CMS published its annual proposed rule updating the Medicare inpatient prospective payment system (IPPS) effective Oct. 1, 2020.

May 05, 2020

FFY 2021 Hospice Proposed Rule

CMS published its annual proposed rule updating the hospice prospective payment system and quality reporting program effective Oct. 1, 2020.

May 05, 2020

FFY 2021 SNF Proposed Rule

CMS published its annual proposed rule updating the skilled nursing facility prospective payment system and quality reporting program effective Oct. 1, 2020.

May 05, 2020

FFY 2021 IRF PPS Proposed Rule

CMS published its annual proposed rule updating the inpatient rehabilitation facility prospective payment system and quality reporting program effective Oct. 1, 2020.

May 05, 2020

FFY 2021 IPF PPS Proposed Rule

CMS published its annual proposed rule updating the inpatient psychiatric facility prospective payment system and quality reporting program effective Oct. 1, 2020.

Jan 09, 2020

Final Rule: CY 2020 OPPS/ASC Services with Correction Notice

On Nov. 12, CMS published the final annual update regarding the Medicare outpatient prospective payment system (OPPS) and ambulatory surgical center payment system (ASC) for calendar year (CY) 2020.

Dec 19, 2019

Final Rule: CY 2020 Home Health Services

On Nov. 8, CMS published its annual final rule for the calendar year (CY) 2020 Medicare home health (HH) prospective payment system (PPS) in the Federal Register (FR).

Oct 10, 2019

Final Rules: FFY 2020 Hospice, IPF, IRF, LTCH, and SNF Services

CMS published annual final rules addressing payment rules for hospice, inpatient psychiatric facility, inpatient rehabilitation facility, long-term care hospital and skilled nursing facility.

Sep 06, 2019

Proposed Rule: FFY 2020 Home Health Services

On July 18, CMS published its annual proposed rule for calendar year 2020 Medicare home health service payments.

Sep 03, 2019

Final Rule: FFY 2020 IPPS Services

On Aug.16, CMS published in the Federal Register its annual final rule for Medicare inpatient and long-term acute care service payments for discharges beginning on or after Oct.1, 2019.

Aug 27, 2019

Proposed Rule: CY 2020 OPPS/ASC Services

On Aug. 9, CMS published its annual update regarding the Medicare outpatient prospective payment system and the Medicare ambulatory surgical center payment system for calendar year (CY) 2020.

Jun 17, 2019

Proposed Rules: FFY 2020 Hospice, IPF, IRF, LTCH, and SNF Services

CMS published annual proposed rules addressing payment rates for IRF, IPF, SNF, LTCH, and hospice.

Jun 07, 2019

Proposed Rule: FFY 2020 IPPS Services

On May 3, CMS published in the Federal Register its annual proposed rule for Medicare inpatient and long-term acute care service payments for discharges beginning on or after Oct. 1, 2019.