Inpatient Psychiatric Facility (IPF) - JF Part A

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).

Access the below IPF related information from this page.

• Freestanding Psychiatric Hospitals Lifetime Limit
• IPF Billing Guide
• Part A to B Rebilling Guidance

Resources

• CMS Internet Only Manual (IOM), Publication 100-02, Medicare Benefit Policy Manual, 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