Prospective Payment System

Deadline Approaching to Ensure Exact Matching on Claims Data for OPPS Providers with Multiple Locations

CHA reminds outpatient prospective payment system providers with multiple locations that the Centers for Medicare & Medicaid Services (CMS) will activate billing claims edits in July to check whether the address on a provider’s claim exactly matches the address entered into the Provider Enrollment, Chain and Ownership System (PECOS), as previously reported in CHA News.

CHA Urges Members to Comment on Area Wage Index Changes in IPPS Proposed Rule

CHA has prepared a letter template that members can use to share with the Centers for Medicare & Medicaid Services (CMS) their opposition to its proposed changes to the Medicare area wage index, outlined in the federal fiscal year (FFY) 2020 inpatient prospective payment system (IPPS) proposed rule. Member input is critical, as this proposal inappropriately and unnecessarily harms California’s hospitals. 

CHA Issues Summary of IPPS Proposed Rule

CHA has issued a summary of the federal fiscal year (FFY) 2020 inpatient prospective payment system proposed rule (IPPS) and will host a member forum June 11 at 10 a.m. (PT). During the call, CHA will provide a brief overview of key provisions in the proposed rule and solicit member feedback to inform our comments — specifically on the proposed changes to the area wage index and Medicare disproportionate share hospital (DSH) payments.

CHA Issues Summary of FFY 2020 LTCH PPS Proposed Rule

CHA has issued a summary — prepared by Health Policy Alternatives, Inc. — of the federal fiscal year 2020 long-term care hospital (LTCH) prospective payment system proposed rule. The summary describes payment, policy and quality proposals under the LTCH Quality Reporting Program. Comments on the proposed rule are due June 24.