LTCH Prospective Payment System (PPS) Fiscal Year (FY) 2020 Pricer - Quarterly Update - Revised

MLN Matters Number: MM11742 Revised
Related CR Release Date: June 19, 2020
Related CR Transmittal Number: R10191CP
Related Change Request (CR) Number: 11742
Effective Date: For COVID-19 Payment Policies - Admissions on or after 1/27/2020; LTCH DPP - For cost reporting periods beginning on or after October 1, 2019
Implementation Date: July 6, 2020

Note: CMS revised this article to reflect a revised CR 11742, issued on June 19, 2020. CMS revised the CR to revise the COVID19 blanket waiver for the LTCH ALOS policy, to include revising the effective date and policy section. CMS updated that portion of this article. Also, CMS revised the CR release date, transmittal number, and the web address of the CR. All other information remains the same.

CR 11742 updates the LTCH Pricer software used in Original Medicare claims processing. The new version includes the payment policy for an LTCH that is subject to the Discharge Payment Percentage (DPP) payment adjustment described in CR 11616. In addition, the CR includes new payment policy for the Novel Coronavirus Disease, COVID-19. Make sure your billing staffs are aware of these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11742.


            Last Updated Tue, 23 Jun 2020 16:06:01 +0000