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.

Sep 02, 2021

FFY 2022 Hospice PPS Final Rule

CMS published its annual final rule updating the Medicare Hospice prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Aug 26, 2021

FFY 2022 Long Term Care Hospital Final Rule Fact Sheet

CMS published its annual final rule updating the Medicare Long Term Care Hospital (LTCH) prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Aug 17, 2021

FFY 2022 IPPS Final Rule

CMS published its federal fiscal year 2022 final rule updating the Medicare inpatient prospective payment system. Additional rulemaking is forthcoming.

Aug 16, 2021

FFY 2022 IPF PPS Final Rule

CMS published its federal fiscal year 2022 final rule updating the Medicare inpatient psychiatric facility PPS, including required reporting of COVID-19 healthcare personnel vaccination rates.

Aug 16, 2021

FFY 2022 IRF PPS Final Rule

CMS published its FFY 2022 final rule updating the Medicare inpatient rehabilitation facility prospective payment system including required reporting of COVID healthcare personnel vaccination rates.

Aug 16, 2021

FFY 2022 SNF PPS Final Rule

CMS published its federal FY 2022 final rule updating the Medicare skilled nursing facility prospective payment system, including required reporting of COVID healthcare personnel vaccination rates.

Aug 04, 2021

CY 2022 OPPS Proposed Rule

CMS published its calendar year 2022 proposed rule updating the Medicare outpatient prospective payment system, including updates to the hospital price transparency rule.

Jul 20, 2021

CY 2022 HH PPS Proposed Rule

CMS published its annual proposed rule updating the Medicare home health prospective payment system effective Jan. 1, 2022 through Dec. 31, 2022.

May 06, 2021

FFY 2022 LTCH Proposed Rule

CMS published its annual proposed rule updating the Medicare long-term acute care hospital prospective payment system effective Oct. 1, 2021 through September 30, 2022.

May 04, 2021

FFY 2022 IPPS Proposed Rule

CMS published its annual proposed rule updating the Medicare inpatient prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Apr 15, 2021

FFY 2022 Hospice Proposed Rule

CMS published its annual proposed rule updating the Medicare hospice prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Apr 15, 2021

FFY 2022 SNF Proposed Rule

CMS published its annual proposed rule updating the Medicare skilled nursing facility (SNF) prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Apr 15, 2021

FFY 2022 IPF Proposed Rule

CMS published its annual proposed rule updating the Medicare inpatient psychiatric facility (IPF) prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Apr 15, 2021

FFY 2022 IRF Proposed Rule

CMS published its annual proposed rule updating the Medicare inpatient rehabilitation facility (IRF) prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

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.

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.