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CMS Clarifies IPPS Rule on Services Made ‘Under Arrangement’
Health Leaders Media

Within the inpatient prospective payment system (IPPS) proposed rule are an assortment of major and minor clarifications which—to a varying degree—will have an effect on a number of hospital departments. One of these updates comes in the form of a clarification to Medicare’s “under arrangement” provision.

When a patient is at a PPS hospital, the hospital is required to provide all covered services the patient needs. In some cases, however, the patient may require a service that the hospital cannot provide.