CHA News Article

FY 2018 IPPS and LTCH PPS Claims to be Held

Due to revised rates in the fiscal year (FY) 2018 inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) prospective payment system (PPSfinal rule correction notice, published on Sept. 29, the FY 2018 IPPS and LTCH PPS pricers will be installed into production on Oct. 23.

As a result, all IPPS and LTCH PPS claims with discharge dates on Oct. 1 through Oct. 23 will be held by Medicare administrative contractors (MACs) until the pricers are tested and installed. Since the required 14-day payment floor count begins the day a claim is received by the MAC, any clean claims held until Oct. 23 will not be subject to another payment floor. Providers should contact their MAC with any questions.