Medicare Payment and Policies for Hospital Settings

Information and resources on Medicare payment and policies for hospital settings. If you have questions about this information, contact advocacy@apta.org.

General Information

• CMS: Hospital Center
• CMS: Physical Therapy Guidelines - Hospitals (.pdf)
• Accreditation Under the Heath Care Facilities Accreditation Program (.pdf)

Acute Care

General Information

• CMS: Acute Inpatient PPS

APTA Summaries

• Proposed Rule for FY 2014 Hospital Inpatient IPPS (.pdf) - 5/10/13
• Final Rule for Changes to the Hospital Inpatient PPS (.pdf)

APTA Comments

• Proposed Rule for FY 2014 IPPS (.pdf) - 7/1/13
• Proposed Rule Part B Inpatient Billing (.pdf)
• Proposed Rule for FY 2012 IPPS (.pdf)
• Proposed Rule for FY 2011 IPPS (.pdf)

Inpatient Rehabilitation

General Information

• CMS: Inpatient Rehabilitation Facility PPS
• Comparison of Current and Final Regulations for Inpatient Rehab Facilities (.pdf) - 10/1/09
• FAQ: Changes in Medicare Payment & Coverage of PT in Post-Acute Care (.pdf) - 9/1/09

APTA Summaries

• Proposed Rule for FY 2014 Inpatient Rehabilitation Facility PPS (.pdf) - 6/10/13
• Notice FY 2013 Inpatient Rehabilitation (.pdf) - 8/2/12
• Final Rule for FY 2012 Inpatient Rehabilitation Facility PPS (.pdf) - 8/9/11
• Proposed Rule for FY 2012 Inpatient Rehabilitation Facility PPS (.pdf) - 6/16/11
• Comprehensive: Final Rule for FY 2010 Inpatient Rehab Facility PPS (.pdf) - 8/6/10
• Highlights: Final Rule for FY 2010 Inpatient Rehab Facility PPS (.pdf) - 8/3/10
• Proposed Rule for FY 2010 Inpatient Rehab Facilitiy PPS (.pdf) - 5/13/09

APTA Comments

• Proposed Rule for FY 2010 IRF (.pdf) - 6/29/09

Outpatient Care

General Information

• CMS: Hospital Outpatient PPS

APTA Summaries

• Highlights: Proposed Rule for CY 2014 Outpatient PPS and ASC Payment System (.pdf) - 7/19/13
• Highlights: Final Rule for CY 2013 Outpatient PPS (.pdf) - 12/3/12
• Proposed Rule for CY 2013 Hospital Outpatient PPS (.pdf) - 7/16/12
• Proposed Rule for 2011 Outpatient Hospital PPS (.pdf) - 7/13/10
• Final Rule for 2010 Hospital Outpatient PPS (.pdf) - 11/13/09
• Proposed Rule for FY 2010 Hospital Outpatient PPS (.pdf) - 8/4/09

APTA Comments

• Proposed Rule for 2014 Outpatient Hospital PPS (.pdf) - 9/6/13
• Proposed Rule for 2013 Outpatient Hospital PPS (.pdf) - 9/4/12
• CMS Interpretative Guidelines (Transmittal 72) (.pdf) - 1/5/12
• Proposed Rule for 2010 Outpatient Hospital PPS (.pdf) - 8/31/09

• Last Updated: 9/9/2013
• Contact: advocacy@apta.org
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