Centers for Medicare & Medicaid Services

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Content Section

Hospital Center

Spotlights

  • On July 31, 2008, the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2009 Final Rule display copy was posted to the CMS web site.  In the Final Rule, CMS included 10 categories of conditions for the Hospital-Acquired Conditions payment provision.  Additional information on HACs and CMS' implementation of Present on Admission Indicator Reporting is available at:  http://www.cms.hhs.gov/HospitalAcqCond/01_Overview.asp
  • CMS IPPS New Technology Applications for FY 2010 now Available.
  • CMS-1554-F:  FY 2009: Inpatient Rehabilitation Facility Prospective Payment System (PPS) Final Rule for Federal Fiscal Year 2009  (Display Date: July 31, 2008)
  • CMS-1390-F; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2009 Rates (Display Date: July 31, 2008; Publication Date: August 19, 2008)
  • Transition of Inpatient Hospital Review Workload – New Fact Sheet and Power Point Slides available. (posted July 7, 2008)
  • CMS-1404-P: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2009 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2009 Payment Rates; View Press Release and Fact Sheet (Display Date: July 3, 2008; Publication Date: July 18, 2008; Comment period closes 5pm ET on September 2, 2008)

Medicare Learning Network (MLN) Spotlights

Go to the What's New page for the latest MLN products and announcements!  Check it often!


Important Links


Payment
  • Acute Inpatient PPS
  • Critical Access Hospitals
  • Hospital Outpatient PPS
  • Inpatient Rehabilitation Facility PPS
  • Long-Term Care Hospital
  • Inpatient Psychiatric Facility PPS
  • Electronic Data Interchange (EDI)(Billing)
    Medicare information on electronic transactions under HIPAA
  • Medicare Fee-for-Service Part B Drugs
  • Medical Review Process
  • Transplant Centers
  • Section 1011. Federal Reimbursement of Emergency Health Services Furnished to Undocumented Aliens

Enrollment, Participation & Certification
  • Provider Enrollment Information
  • CMS 855 Enrollment Applications
  • Conditions of Participation: Hospitals
  • Survey & Certification

Policies & Regulations
  • Medicare Modernization Update 
  • Quarterly Provider Update
  • Health Insurance Portability and Accountability Act (HIPAA)
  • Emergency Medical Treatment and Labor Act (EMTALA)

Coding
  • Healthcare Common Procedure Coding System (HCPCS) 
  • Alpha-Numeric HCPCS File
  • ICD-9-CM -- General Information
  • ICD-9 -- Codes
  • National Correct Coding Edits for Hospital Outpatient
  • Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs)

Educational Resources
  • Medicare Learning Network (MLN)
  • MLN Educational Web Guides
  • MLN Products
  • MLN Matters Articles (Search)

Coverage
  • Medicare Coverage
  • Medicare Coverage Database
  • Medicare National Coverage Determinations Manual

Specialty Hospitals
  • Specialty Hospital Issues
  • Deficit Reduction Act of 2005 Report to Congress
  • Specialty Hospital Advisory Opinions of 2005
  • Specialty Hospital Advisory Opinions of 2004

Uninsured Information
  • FAQs on charges for the uninsured (PDF, 103KB)
  • FAQ regarding offering discounts to the uninsured (PDF, 8KB)
CMS Manuals & Transmittals
  • CMS Manuals
  • CMS Internet-Only Manuals
  • Program Transmittals
  • Medicare National Coverage Determinations Manual

Medicare Prescription Drug Coverage
  • Information for Providers

National Provider Identifier (NPI)
  • Information for Medicare Fee-for-Service Providers about the NPI

Cost Reporting
  • Provider Reimbursement Manual (Pub 15)
  • Provider Reimbursement Review Board

Forms
  • Hospital Advanced Beneficiary Notice
  • CMS 855 Enrollment Applications
  • Form 1450 (UB-04)
  • Form 1500
  • All CMS Forms

Hospital Value-Based Purchasing
  • Report to Congress: Plan to Implement a Medicare Hospital Value-Based Purchasing Program
  • Agenda - April 12, 2007 Listening Session
  • Slide Presentations - April 12, 2007 Listening Session
  • Options Paper 2nd Public Listening Session
  • Audio Download of the January 17th Listening Session [Mp3]
  • Agenda - January 17, 2007 Listening Session
  • Slide Presentations - January 17, 2007 Listening Session
  • Medicare Hospital Value-Based Purchasing Plan Development Issues Paper



Initiatives
  • Hospital Quality Initiative
  • Beneficiary Notices Initiative (BNI)
  • Preventive Services
  • Adult Immunizations (Provider  Resources)

Medical Review/ Fraud & Abuse
  • Medical Review Process
  • Beneficiary Complaint Response Program

Medicare Secondary Payer
  • Medicare Secondary Payer and You
  • Medicare Secondary Payer Manual
  • Coordination of Benefits

Contacts 
  • Contact Your FI/ Carrier
    via Toll-Free Numbers and Websites -- A listing of the toll-free numbers that CMS has installed at Medicare FFS contractor sites.
  • Quality Improvement Organizations (QIO)
  • CMS Regional Offices
  • Contacting the Coordination of Benefits Contractor (COBC)

How to Stay Informed
  • Hospital Open Door Forum
  • Press Releases
  • To keep informed, sign up for the IPPS, OPPS, IRF, IPF and LTCH mailing lists!  

 

 

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