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Inpatient Prospective Payment System (IPPS)

This section includes information about the Inpatient Prospective Payment system, which sets payment policies and rates for inpatients procedures and services.

2014

FY 15 IPPS Proposed Rule (7/17/14) Early this year, the Centers for Medicare and Medicaid Services released the 2015 Medicare Inpatient Prospective Payment System (IPPS) Proposed Rule, which proposes updates for 2015 Medicare payment policies and rates for inpatient stays at general acute care and long-term care hospitals. The Society submitted comments on the proposed rule. 

CMS Delays Two Midnight Rule (01/31/2014) On Friday, January 31, 2014, the Centers for Medicare and Medicaid Services (CMS) announced that the enforcement of the two-midnight rule is delayed through September 30, 2014.

2013

CMS Releases Guidance on Admission and Review Criteria Policy (10/07/2013) The Centers for Medicare and Medicaid Services (CMS) released new information on the admission and review policy included in the Medicare hospital inpatient prospective payment system for FY 2014. The Society provided comments to CMS in June highlighting the need for clarification on the 'two-midnight' policy.

2014 Hospital Inpatient Prospective Payment System Proposed Rule (04/26/2013) On April 26, 2013, the Centers for Medicare and Medicaid Services (CMS) released its Fiscal Year (FY) 2014 Medicare Inpatient Prospective Payment System (IPPS) Proposed Rule. The rule proposes updates for FY 2014 Medicare payment policies and rates for inpatient stays at general acute care and long-term care hospitals.  

2012

2013 Hospital Inpatient Prospective Payment System Final Rule (08/01/2012) On August 1, 2012, the Centers for Medicare and Medicaid Services (CMS) released the final changes and payment rates for the Hospital Inpatient Prospective Payment System (IPPS) for Fiscal Year 2013.  The changes apply to approximately 3,400 acute care hospitals, beginning with discharges occurring on or after October 1, 2012. 

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