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Member

CMS Issues Hospital Outpatient, Ambulatory Surgical Center Final Rule for CY 2026

The Centers for Medicare & Medicaid Services Nov. 21 released its calendar year 2026 outpatient prospective payment system and ambulatory surgical center final rule. The rule increases OPPS rates by a net 2.6% in CY 2026 compared to CY 2025.
Outpatient Prospective Payment Systems (OPPS), Ambulatory Surgical Center (ASC)
Member

Aetna Delays, Issues Additional Details on ‘Level of Severity Inpatient Payment’ Policy

The Centers for Medicare & Medicaid Services (CMS) Oct. 31 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2026.
Inpatient Prospective Payment Systems (IPPS)
Member

CMS Issues CY 2026 Physician Fee Schedule Final Rule

The Centers for Medicare & Medicaid Services (CMS) Oct. 31 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2026.
Physician Fee Schedule (PFS)/MACRA/QPP, Outpatient Prospective Payment Systems (OPPS), Telehealth, Medicare, Ambulatory and Outpatient Care, Behavioral Health Care Delivery, Medicare, Merit-based Incentive Payment System (MIPS), Interoperability, Medicare Physician Payment
Member

Inpatient PPS Final Rule for FY 2026

The CMS July 31 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for fiscal year (FY) 2026.
Inpatient Prospective Payment Systems (IPPS)
Member

Long-term Care Hospital Prospective Payment System Final Rule for FY 2026

The Centers for Medicare & Medicaid Services (CMS) July 31 issued a final rule for the inpatient and long-term care hospital (LTCH) prospective payment systems (PPS) for fiscal year (FY) 2026.
Long-Term Care PPS
Member

CMS Releases FY 2026 Inpatient Rehabilitation Facility PPS Final Rule

The Centers for Medicare & Medicaid Services (CMS) Aug. 1 issued its fiscal year (FY) 2026 final rule for the inpatient rehabilitation facility (IRF) prospective payment system (PPS).
Inpatient Rehab Facility PPS, Social Determinants of Health
Member

CMS Releases FY 2026 Skilled Nursing Facility PPS Final Rule

The Centers for Medicare & Medicaid Services (CMS) July 31 issued its fiscal year&nbsp
Skilled Nursing Facility PPS
Member

CMS Inpatient Psychiatric Facility PPS Final Rule for FY 2025

The Centers for Medicare & Medicaid Services (CMS) Aug.
Psychiatric PPS
Member

Inpatient Rehabilitation Facility Prospective Payment System Final Rule for FY 2026

The Centers for Medicare & Medicaid Services (CMS) Aug. 1 issued its fiscal year (FY) 2026 final rule for the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS).
Inpatient Rehab Facility PPS
Member

CMS Releases FY 2026 Long-term Care Hospital PPS Final Rule

The Centers for Medicare & Medicaid Services (CMS) July 31 issued a 
Long-Term Care PPS