Facilities and Organizations


Find the latest Medicare news for facilities and organizations as well as helpful information, tools and links to CMS resources.





Facilities and Organizations Articles


Date of Service ReportingQuality Improvement Organization (QIO) DenialsObservation CareDate of Service ReportingInpatient Rehabilitation Facility (IRF) Compliance Review - ' 60 Percent Rule'Skilled Nursing Facility Payment Bans or Denial of Payment for New AdmissionsReporting Multiple Outpatient Visits that Occur the Same DayTop Five Errors Identified During Medicare Secondary Payer (MSP) Hospital AuditsPartial Hospitalization Programs (PHPs) ModuleESRD Billing for Acute Kidney Injury (AKI) ModuleUtilization of Lifetime Reserve Days Module340B Drug Program Reimbursement CalculatorPatient Discharge Status Codes and Hospital Transfers ModulePatient Discharge Status Codes and Hospital Transfers ModuleRural Health Clinic (RHC) Overview ModuleSkilled Nursing Facility (SNF) Basics Training ModulesCracking Condition Code 44 Computer-Based TrainingCracking Condition Code 44 Computer-Based TrainingFederally Qualified Health Centers (FQHCs) - A to Z ModuleIPPS Billing for Cost Outlier ModuleIntensity-Modulated Radiation Therapy ModuleReligious Nonmedical Health Care Institution Overview ModuleDiagnosis Related Group (DRG) 470 ModuleLong-Term Care Hospitals Prospective Payment System2019 Histocompatibility Lab Rates2018 Histocompatibility Lab RatesHospitals: Incorrect Maximum Payment for Sentinel Cerebral Protection SystemThree-Day Prior Hospitalization Requirement for Skilled Nursing Facility (SNF) ServicesRNHCI - Religious Nonmedical Health Care InstitutionsBeneficiary and Family Centered Care Quality Improvement Organizations (QIO) Two-Midnight (2M<) Short Stay Review (SSR) DeterminationsRequesting a Rate Change for a Histocompatibility LabPart A Inpatient Date of Service Reporting and Split BillingPart A Outpatient Date of Service Reporting and Split BillingFQHC Claims: Retroactive Adjustment for Geographic Adjustment Factor2020 Organ Procurement Organization RatesSole Community Hospital (SCH)Extension for Inpatient Prospective Payment System (IPPS) Wage Index Occupational Mix Survey SubmissionCMS Resources for Skilled Nursing Facilities (SNF): Patient Driven Payment Model (PDPM)2018 Organ Procurement Organization RatesDiagnosis-Related Group (DRG) 470 Dates of Service vs Dates of Procedure ReportingReligious Nonmedical Health Care Institutions (RNHCI) Tip2019 Organ Procurement Organization RatesHistocompatibility Laboratories - Notification of Change of Interim Reimbursement Rate2021Organ Procurement Organization Rates2020 Histocompatibility Lab Rates2021 Histocompatibility Lab RatesESRD Facilities: Machine Reported Dialysis Treatment Time on the 072X Bill TypeMedicare Coverage of Intensity Modulated Radiation Therapy (IMRT)RHC Productivity Standard ExceptionsInpatient Rehabilitation FacilityInpatient Rehabilitation Facility (IRF) ResourcesHospital Low Volume AdjustmentSkilled Nursing Facility (SNF) Extended Care Services ModuleHospitals: Physician Time Studies During the COVID-19 PHEInpatient PPS Outlier BillingHospitals: Physician Time Studies During the COVID-19 PHEHospitals: Physician Time Studies During the COVID-19 PHEA/B Rebilling ModuleFQHC and RHC Claims: Retroactive Rate Adjustment for HCPCS Code G2025FQHC and RHC Claims: Retroactive Rate Adjustment for HCPCS Code G2025Inpatient PPS Outlier BillingRural Health Clinics (RHC) Billing Venipuncture with Incorrect Revenue CodesRural Health Clinics (RHCs) Reporting Requirements - Frequently Asked Questions (FAQs)Rural Health Clinics (RHCs) Reporting RequirementsLong Term Care Hospital (LTCH) Prospective Payment System (PPS) Interrupted Stay PolicyCOVID-19: RHC and FQHC Lump Sum PaymentsCOVID-19: RHC and FQHC Lump Sum PaymentsCOVID-19: RHC and FQHC Lump Sum PaymentsCOVID-19: RHC and FQHC Lump Sum PaymentsOffice of the Inspector General (OIG) Post-Acute Care Transfer (PACT) Policy Audit Questions and AnswersNew Editing Established for Federally Qualified Health Center and Rural Health ClinicsNew Editing Established for Federally Qualified Health Center and Rural Health ClinicsCounting Units for Therapy CodesAmbulance Fee Schedule and Medicare Transports CMS BookletAmbulance Fee Schedule and Medicare Transports CMS BookletAmbulance Fee Schedule and Medicare Transports CMS BookletAmbulance Fee Schedule and Medicare Transports CMS BookletAmbulance Fee Schedule and Medicare Transports CMS BookletSkilled Nursing Facility (SNF) Ancillary Services ModuleCost Report Appeals for OPOs