Inpatient Psychiatric Facility (IPF)
Medicare provides payment for inpatient psychiatric treatment when provided to a patient in psychiatric hospitals, and distinct part psychiatric units of acute care hospitals and critical access hospitals (CAHs).
- CMS Internet Only Manual (IOM), Publication 100-02, Medicare Benefit Policy Manual, Publication 100-02, Chapter 2 -Inpatient Psychiatric Hospital Services, Sections 10, 20, 90 - Defines what inpatient psychiatric hospital services are as well as specific coverage guidelines for various services.
- CMS IOM, Publication 100-02, Medicare Benefit Policy Manual, Chapter 4 Inpatient Psychiatric Benefit Days Reduction and Lifetime Limitation, Sections 10, 40, 50 - Gives guidance on reduction of IPF benefit days and how to determine if days are available
- CMS IOM, Publication 100-04, Medicare Claims Processing Manual, Chapter 3 - Inpatient Hospital Billing, Section 190 - Explains billing requirements for all types of inpatient services
- CMS IPF PPS Comorbidity Categories Code List, Code First Table, and ECT Procedure Codes
- CMS IPF PPS PC Pricer
Last Updated Jun 20, 2017
The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.