Southwest Consulting Associates Blog

FY 2020 IPPS Final Rule Posted

Posted by Jamie Pennington on Aug 2, 2019 4:40:07 PM

The FY 2020 Inpatient Prospective Payment System (IPPS) Final Rule was put on display for public inspection on August 2, 2019, and is scheduled to be published in the Federal Register on August 16, 2019.  The pre-publication version can be viewed HERE or on the FY 2020 IPPS Final Rule homepageThese changes will go into effect October 1, 2019.  

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Topics: Medicare DSH Reimbursement, Industry Updates, S-10, regulations, proposed rule, worksheet s-10, factor 3, uncompensated care payment, ipps rule, provider reimbursement

FY 2020 IPPS Proposed Rule Review Part 2: Medicare DSH

Posted by Michael Newell on Jul 30, 2019 5:12:51 PM

In part 2 of our FY 2020 IPPS Proposed Rule Review series, we will take a look at the one DSH item included in the proposed rule that may be of some interest to you. It appears this item stems from the fact that there are a large number of PRRB appeals involving Medicaid eligible days and the agency is struggling for ways to deal with that issue. It appears that the agency recognizes that there is a legitimate issue to be addressed in terms of including all identified Medicaid eligible days in a hospital’s cost report, but that there might be a better way to proceed and alleviate the backlog of appeals on this issue at the Provider Reimbursement Review Board.

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Topics: Medicare DSH Reimbursement, appeals, ipps rule, PRRB rules

FY 2020 IPPS Rule & 2015 S-10 Audits Detail

Posted by Jamie Pennington on Jul 18, 2019 4:45:21 PM

Southwest Consulting Associates was featured in the latest issue of the First Illinois Speaks HFMA chapter magazine. Beginning on page 12, Kyle Pennington briefly reviews the FY 2020 IPPS proposed rule, summarizes the inaugural audits of 2015 Medicare cost report Worksheet S-10 data and what's coming up next for hospital providers and their reimbursement teams. We’ve also included a post-article update at the end of this post.

 

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Topics: S-10, worksheet s-10, uncompensated care payment, Medicare Cost Report, S-10 audit, ipps rule

Proposed 2020 IPPS Rule: Update to Standardized Rates

Posted by Stacie Snider on May 14, 2019 10:18:50 AM

The 2020 IPPS Proposed Rule was put on display for public inspection on April 23, 2019, and subsequently published in the Federal Register May 3, 2019.  You can view the rule in its entirety here.  If finalized, the proposed 2020 IPPS rule will affect discharges on or after October 1, 2019. Each year, CMS publishes updates to the regulations for inflation factors, wage adjustments, etc.  The rates that are reviewed in this post are the non-wage index adjusted rates for specific Core-Based Statistical Areas (CBSAs) as well as other updates made to the standardized rates.  

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Topics: proposed rule, wage index, ipps rule, provider reimbursement

FY 2020 IPPS Proposed Rule

Posted by Jamie Pennington on Apr 24, 2019 3:23:43 PM

The FY 2020 Inpatient Prospective Payment System (IPPS) Proposed Rule was put on display for public inspection on April 23, 2019, and is scheduled to be published in the Federal Register on May 3, 2019.  The pre-publication version can be viewed HERE or on the FY 2020 IPPS Proposed Rule homepage.  If finalized, these changes will go into effect October 1, 2019.  All public comments to the proposed rule are to be received by 5 pm EST on Monday, June 24, 2019.

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Topics: Medicare DSH Reimbursement, Industry Updates, S-10, regulations, proposed rule, worksheet s-10, factor 3, uncompensated care payment, ipps rule, provider reimbursement

FY 2019 IPPS Rule, Worksheet S-10 Audits & Going Forward

Posted by Jamie Pennington on Feb 11, 2019 12:55:30 PM

Southwest Consulting Associates was featured in the latest issue of the Dallas-Fort Worth Hospital Council's Interlocutor magazine.  Beginning on page 24, Kyle Pennington reviews the FY 2019 IPPS rule, the inaugural audits of Medicare cost report Worksheet S-10 data and what's coming up next for hospital providers and their reimbursement teams. 

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Topics: S-10, final rule, worksheet s-10, Medicare Cost Report, S-10 audit, ipps rule

About This Blog

The climate of provider reimbursement is ever-changing and this blog is intended to keep you up-to-date on the latest information regarding:

  • DSH Reimbursement
  • 340B Pharmacy Drug Discount Program
  • Compliance Issues
  • Litigation Surrounding Provider Reimbursement

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