Facilities and Organizations

Published 02/28/2019

Find the latest Medicare news for facilities and organizations as well as helpful information, tools and links to CMS resources.


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Date of Service ReportingQuality Improvement Organization (QIO) DenialsObservation CareDate of Service ReportingInpatient Rehabilitation Facility (IRF) Compliance Review - ' 60 Percent Rule'Skilled Nursing Facility Payment Bans or Denial of Payment for New AdmissionsReporting Multiple Outpatient Visits that Occur the Same DayPartial Hospitalization Programs (PHPs) ModuleESRD Billing for Acute Kidney Injury (AKI) Module340B Drug Program Reimbursement CalculatorPatient Discharge Status Codes and Hospital Transfers ModulePatient Discharge Status Codes and Hospital Transfers ModuleRural Health Clinic (RHC) Overview ModuleSkilled Nursing Facility (SNF) Basics Training ModulesCracking Condition Code 44 Computer-Based TrainingCracking Condition Code 44 Computer-Based TrainingFederally Qualified Health Centers (FQHCs) - A to Z ModuleIntensity-Modulated Radiation Therapy ModuleReligious Nonmedical Health Care Institution Overview ModuleDiagnosis Related Group (DRG) 470 Module2019 Histocompatibility Lab Rates2018 Histocompatibility Lab RatesHospitals: Incorrect Maximum Payment for Sentinel Cerebral Protection SystemThree-Day Prior Hospitalization Requirement for Skilled Nursing Facility (SNF) ServicesBeneficiary and Family Centered Care Quality Improvement Organizations (QIO) Two-Midnight (2M<) Short Stay Review (SSR) DeterminationsRequesting a Rate Change for a Histocompatibility LabPart A Outpatient Date of Service Reporting and Split Billing2020 Organ Procurement Organization RatesExtension for Inpatient Prospective Payment System (IPPS) Wage Index Occupational Mix Survey SubmissionCMS Resources for Skilled Nursing Facilities (SNF): Patient Driven Payment Model (PDPM)2018 Organ Procurement Organization RatesDiagnosis-Related Group (DRG) 470 Dates of Service vs Dates of Procedure ReportingReligious Nonmedical Health Care Institutions (RNHCI) Tip2019 Organ Procurement Organization RatesHistocompatibility Laboratories - Notification of Change of Interim Reimbursement Rate2021Organ Procurement Organization Rates2020 Histocompatibility Lab Rates2021 Histocompatibility Lab RatesMedicare Coverage of Intensity Modulated Radiation Therapy (IMRT)RHC Productivity Standard ExceptionsHospital Low Volume AdjustmentSkilled Nursing Facility (SNF) Extended Care Services ModuleHospitals: Physician Time Studies During the COVID-19 PHEInpatient PPS Outlier BillingHospitals: Physician Time Studies During the COVID-19 PHEHospitals: Physician Time Studies During the COVID-19 PHEInpatient PPS Outlier BillingRural Health Clinics (RHC) Billing Venipuncture with Incorrect Revenue CodesRural Health Clinics (RHCs) Reporting Requirements - Frequently Asked Questions (FAQs)Rural Health Clinics (RHCs) Reporting RequirementsLong Term Care Hospital (LTCH) Prospective Payment System (PPS) Interrupted Stay PolicyCOVID-19: RHC and FQHC Lump Sum PaymentsCOVID-19: RHC and FQHC Lump Sum PaymentsOffice of the Inspector General (OIG) Post-Acute Care Transfer (PACT) Policy Audit Questions and AnswersNew Editing Established for Federally Qualified Health Center and Rural Health ClinicsNew Editing Established for Federally Qualified Health Center and Rural Health ClinicsCounting Units for Therapy CodesSkilled Nursing Facility (SNF) Ancillary Services ModuleCost Report Appeals for OPOsPart A Inpatient Date of Service Reporting and Split BillingRNHCI - Religious Nonmedical Health Care InstitutionsTop Five Errors Identified During Medicare Secondary Payer (MSP) Hospital AuditsLong-Term Care Hospitals Prospective Payment SystemSkilled Nursing Patient Driven Payment ModelEsophagitis, Gastroenteritis and Miscellaneous Digestive DisordersAmbulance Fee Schedule and Medicare Transports CMS BookletAmbulance Fee Schedule and Medicare Transports CMS BookletAmbulance Fee Schedule and Medicare Transports CMS BookletAmbulance Fee Schedule and Medicare Transports CMS BookletAmbulance Fee Schedule and Medicare Transports CMS BookletJanuary 2022 Histocompatibility Lab RatesOrgan Procurement Organization Rates: Effective January 1, 2022Utilization of Lifetime Reserve Days ModuleA/B Rebilling ModuleIPPS Billing for Cost Outlier ModuleInpatient Rehabilitation Facility (IRF) Resources