Finance & Reimbursement

About Finance & Reimbursement

Even before the COVID-19 pandemic, many California hospitals’ financial situations were challenging — nearly 40% operated in the red. Hospitals strive to contain costs while delivering essential care to their communities in the most cost-effective manner. CHA provides direction to hospitals on the diverse issues that affect their financial performance, and advocates for them to ensure that much-needed programs retain their funding. In addition, CHA offers tools such as DataSuite to help hospitals analyze government reimbursement changes, and the potential impact of regulatory and legislative actions on hospitals.  

2022 Inpatient Psychiatric Facilities Proposed Rule Updates Webinar

CMS issues updates on Prospective Payment Systems (PPS). The Centers for Medicare & Medicaid Services (CMS) has issued its proposed rule updating the inpatient psychiatric facility (IPF) prospective payment system (PPS) for fiscal year (FY) 2022. This CMS proposal is estimated to increase overall payments by $90 million compared to fiscal year 2021.

CMS Issues FFY 2022 Long-Term Care Hospital PPS Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) has issued its fiscal year (FY) 2022 updated payment policies and other provisions for the long-term care hospital (LTCH) prospective payment system (PPS). Comments on the proposed rule are due by 2 p.m. (PT) on June 28.   

CMS Updates for the Week of April 26

The Centers for Medicare & Medicaid Services issued the following updates this week:​​​​ May 12 Hospice Quality Reporting Program Forum May 13 Building COVID-19 Vaccine Confidence Webinar Addition of the QW Modifier to Healthcare Common Procedure Coding System (HCPCS) Code 87636

CHA Issues Summary of FFY 2022 Hospice Payment Update Proposed Rule

CHA has issued a detailed members-only summary, prepared by Health Policy Alternatives, Inc., of the proposed rule updating payments to hospice facilities for federal fiscal year 2022 recently released by the Centers for Medicare & Medicaid Services (CMS). Comments are due to CMS by 2 p.m. (PT) on June 7.