CHA News Article

CMS to Hold Hospitals’ FY 2019 Inpatient and Long-Term Care PPS Claims
Applies to discharge dates from Oct. 1 – 22

In the Oct. 3 Federal Register, the Centers for Medicare & Medicaid Services (CMS) published a correction to the federal fiscal year 2019 final rules addressing the inpatient and long-term acute hospital prospective payment systems. Based on this correction, base payment amounts, outlier thresholds and various other components of the previously issued final rules have been revised. As such, CMS has announced that Medicare administrative contractors will hold claims with discharge dates on or after Oct. 1 through Oct. 22. Providers are not required to resubmit claims. Hospitals with cash flow concerns can obtain interim relief through the accelerated payment program if they meet eligibility requirements.

Contact Ron Yaw at or (916) 552-7695 with any questions.