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Overview of Proposed IPPS Rule (FY) 2026
This webinar will provide an overview of the released CMS proposed rule for the fiscal year (FY) 2026 Inpatient Prospective Payment System (IPPS).
CMS Releases Hospital Inpatient PPS Proposed Rule for Fiscal Year 2026
The Centers for Medicare & Medicaid Services (CMS) April 11 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS proposed rule for fiscal year (FY) 2026.
AHA Statement on FY 2026 Proposed IPPS & LTCH Payment Rule
America’s hospitals and health systems spend too many resources each year on regulatory requirements, forcing many of our clinicians to focus more time completing paperwork than treating patients. The AHA appreciates the Administration’s request for information on approaches and opportunities to streamline regulations and reduce burdens in the Medicare program.
CMS issues hospital IPPS proposed rule for FY 2026
The Centers for Medicare & Medicaid Services April 11 issued a proposed rule that would increase Medicare inpatient prospective payment system rates by a net 2.4% in fiscal year 2026, compared with FY 2025, for hospitals that are meaningful users of electronic health records and submit quality measure data.
Inpatient Prospective Payment System (IPPS)
Find out what Medicare's Inpatient Prospective Payment System IPPS in healthcare is. More than three-quarters of the nation's inpatient acute-care hospitals are paid under the inpatient prospective payment system, while nearly a quarter are paid based on costs and are called Critical Access Hospitals. The IPPS pays a flat rate based on the average charges across all hospitals for a specific diagnosis, regardless of whether that particular patient costs more or less. What is Inpatient PPS?
Inpatient Prospective Payment System Links
Inpatient Prospective Payment System (IPPS) Resources: Links to government sites and other sites that contain the latest information on Inpatient PPS.
Inpatient Prospective Payment System - Coding Resources
AHA Central Office serves as the U.S. clearinghouse for issues related to the use of ICD-9-CM, ICD-10-CM, ICD-10-PCS and certain HCPCS codes. AHA Central Office works with the National Center for Health Statistics and the Centers for Medicare & Medicaid Services to maintain the integrity of the classification system, and recommends revisions and modifications to the current and future coding revisions.
AHA Comments to CMS on FY 2025 Wage Index Values
The AHA has long stated that while we appreciated CMS’ recognition of the wage index’s shortcomings, the agency should not have implemented this policy by penalizing all hospitals, especially when Medicare already pays far less than the cost of providing care. As such, if CMS does address payments under this policy in FYs 2020-2024, it should not seek a clawback of funds that hospitals received because of the agency’s mistakes and have long since spent on patient care.
Transforming Episode Accountability Model (TEAM) Final Rule Webinar
In this webinar, AHA policy experts, Jennifer Holloman, Senior Associate Director, Physician and Alternative Payment Model Policy, Shannon Wu, Director, Inpatient Payment Policy and Akin Demehin, Senior Director, Quality Policy provided an overview of the TEAM final rule.